go back

Follow-Up Care After Leaving the Hospital, Moderate

Maine 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?

$162

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $107 to $166.

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.

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $162Professionalmedian $162 · 10th to 90th $91 to $204
$100$200facility $107professional $162

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$70.79
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$165.96
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$223.87
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$194.98
Typical High
$199.53
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$162.18
Typical High
$162.18
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$70.79
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$194.98
Typical High
$288.40

Where Maine 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.

Maine· 35th of 51

$162

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.