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Follow-Up Care After Leaving the Hospital, Moderate

Kentucky 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 October 2026.

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

$120

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $170 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$97.72 to $155
FacilityA hospital or hospital-owned outpatient department$170$120 to $178

How much rates vary

Facilitymedian $170 · 10th to 90th $120 to $204Professionalmedian $117 · 10th to 90th $78 to $191
$100$200facility $170professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$177.83
Typical High
$223.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$75.86
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$151.36
Typical High
$177.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$75.86
Typical High
$89.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$204.17
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$107.15
Typical High
$151.36
CareSource
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$147.91
Typical High
$204.17
CareSource
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$186.21
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$162.18
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$158.49
Typical High
$234.42

Where Kentucky sits

The same service costs 2.8 times more in Alaska than in Kentucky. 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.

Kentucky· 51st of 51

$120

AK $339KY $120

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.