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Follow-Up Care After Leaving the Hospital, Moderate

Tennessee 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 Tennessee, 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 $234 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$126 to $200
FacilityA hospital or hospital-owned outpatient department$234$155 to $331

How much rates vary

Facilitymedian $234 · 10th to 90th $151 to $891Professionalmedian $162 · 10th to 90th $110 to $263
$50$100$200$500$1Kfacility $234professional $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
$151.36
Median
$213.80
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$251.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$218.78
Median
$239.88
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$173.78
Median
$213.80
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Optum
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$281.84

Where Tennessee 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.

Tennessee· 35th 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.