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Follow-Up Care After Leaving the Hospital, Moderate

Alabama rates for HCPCS 99495

This service covers coordinated follow-up care provided to a patient during the weeks after being discharged from a hospital or facility stay, including a check-in and a required follow-up office visit. It applies to cases involving a moderate level of medical decision-making during that transition period.

Rates data updated July 2026.

How much does Follow-Up Care After Leaving the Hospital, Moderate cost?

$148

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $174 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$115 to $166
FacilityA hospital or hospital-owned outpatient department$174$155 to $204

How much rates vary

Facilitymedian $174 · 10th to 90th $141 to $229Professionalmedian $145 · 10th to 90th $110 to $191
$50$100$200facility $174professional $145

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$186.21
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$229.09

Where Alabama sits

The same service costs 2.1 times more in Minnesota than in Delaware. 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.

Alabama· 50th of 51

$148

MN $288DE $138

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.