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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.

How much does Follow-Up Care After Leaving the Hospital, Moderate cost?

$166

Typical negotiated rate. In Utah, 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 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$166$123 to $209
FacilityA hospital or hospital-owned outpatient department$166$138 to $186

How much rates vary

Facilitymedian $166 · 10th to 90th $138 to $288Professionalmedian $166 · 10th to 90th $43 to $251
$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
$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

Where Utah 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.

Utah· 28th 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.