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Follow-Up Care After Leaving the Hospital, Moderate

Indiana 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?

$158

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $214 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 6 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$158$120 to $195
FacilityA hospital or hospital-owned outpatient department$214$148 to $407

How much rates vary

Facilitymedian $214 · 10th to 90th $120 to $550Professionalmedian $158 · 10th to 90th $107 to $269
$100$200$500facility $214professional $158

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
$102.33
Median
$162.18
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$269.15
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$234.42
Median
$281.84
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$407.38
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$165.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$251.19

Where Indiana 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.

Indiana· 42nd of 51

$158

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.