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Assisted Living Follow-Up Visit, Low Complexity

Pennsylvania rates for HCPCS 99335

A follow-up visit by a doctor or other qualified provider to a patient they already care for who lives in an assisted living residence, rest home, or similar place providing housing and personal care. It covers a low level of complexity, with a fuller history and examination than the briefest check but a problem that is not severe.

Rates data updated July 2026.

How much does Assisted Living Follow-Up Visit, Low Complexity cost?

$50.12

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $50.12 to $63.10.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66 · 10th to 90th $66 to $66Professionalmedian $50 · 10th to 90th $50 to $63
facility $66professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12

Where Pennsylvania sits

The same service costs 11.7 times more in North Carolina than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 32nd of 34

$50.12

NC $355SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.