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Follow-Up Care After Leaving the Hospital, Moderate

Massachusetts 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.

Facilitymedian $191 · 10th–90th $107$4170%20%10th90th$191Professionalmedian $182 · 10th–90th $110$4370%10%10th90th$182$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$363.08
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$549.54
Typical High
$660.69
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$323.59
Typical High
$891.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$467.74
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$173.78
Typical High
$245.47
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$457.09
Health New England
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$302.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$323.59
Typical High
$891.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$602.56
Tufts
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$371.54
Tufts
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$575.44