go back

Follow-Up Care After Leaving the Hospital, Moderate

New Mexico 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?

$162

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 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 7 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$162$123 to $209
FacilityA hospital or hospital-owned outpatient department$166$129 to $224

How much rates vary

Facilitymedian $166 · 10th to 90th $110 to $389Professionalmedian $162 · 10th to 90th $107 to $331
$100$1K$10Kfacility $166professional $162

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
$123.03
Median
$162.18
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$181.97
Median
$302.00
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$416.87
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$173.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$316.23

Where New Mexico 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.

New Mexico· 37th of 51

$162

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.