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Follow-Up Care After Leaving the Hospital, Moderate

South 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?

$170

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $170 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$170$135 to $219
FacilityA hospital or hospital-owned outpatient department$170$123 to $209

How much rates vary

Facilitymedian $170 · 10th to 90th $112 to $288Professionalmedian $170 · 10th to 90th $112 to $380
$10$20$50$100$200$500facility $170professional $170

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
$117.49
Median
$169.82
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$380.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$128.82
Median
$239.88
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$208.93
Median
$302.00
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$281.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$218.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$275.42

Where South 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.

South Carolina· 22nd of 51

$170

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.