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Follow-Up Care After Leaving the Hospital, Moderate

North Carolina 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?

$166

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $166 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 8 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$166$126 to $204
FacilityA hospital or hospital-owned outpatient department$166$126 to $234

How much rates vary

Facilitymedian $166 · 10th to 90th $102 to $331Professionalmedian $166 · 10th to 90th $95 to $309
$50$100$200$500facility $166professional $166

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
$91.20
Median
$186.21
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$162.18
Typical High
$302.00
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$128.82
Median
$389.05
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$208.93
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$331.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$229.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$275.42
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25

Where North Carolina 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.

North Carolina· 24th of 51

$166

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.