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Follow-Up Care After Leaving the Hospital, Moderate

Utah 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.

Facilitymedian $166 · 10th–90th $138$2880%20%10th90th$166Professionalmedian $166 · 10th–90th $43$2510%10%20%10th90th$166$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$158.49
Typical High
$251.19
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$165.96
Median
$218.78
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$173.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$389.05
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$288.40
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$173.78
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$181.97
Typical High
$281.84