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Follow-Up Care After Leaving the Hospital, Moderate

Georgia 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?

$170

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $148 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 7 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$170$126 to $209
FacilityA hospital or hospital-owned outpatient department$148$135 to $162

How much rates vary

Facilitymedian $148 · 10th to 90th $112 to $490Professionalmedian $170 · 10th to 90th $112 to $331
$50$100$200$500facility $148professional $170

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
$112.20
Median
$147.91
Typical High
$489.78
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$162.18
Median
$269.15
Typical High
$416.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$199.53
Median
$245.47
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$97.72
Typical High
$134.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$190.55
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$354.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$234.42
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$363.08

Where Georgia 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.

Georgia· 17th of 51

$170

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.