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Follow-Up Care After Leaving the Hospital, Moderate

Virginia 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 October 2026.

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

$166

Typical negotiated rate. In Virginia, October 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 $138 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$148 to $214
FacilityA hospital or hospital-owned outpatient department$138$126 to $200

How much rates vary

Facilitymedian $138 · 10th to 90th $110 to $339Professionalmedian $166 · 10th to 90th $126 to $240
$100$200$500$1K$2K$5K$10Kfacility $138professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$162.18
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$162.18
Typical High
$199.53
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$70.79
Typical High
$100.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$181.97
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$186.21
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$186.21
Typical High
$288.40
Medcost
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$199.53
Typical High
$295.12
Medcost
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$177.83
Sentara
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$630.96
Sentara
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$186.21
Typical High
$446.68
United
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$275.42
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$177.83
Typical High
$316.23

Where Virginia sits

The same service costs 2.8 times more in Alaska than in Kentucky. 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.

Virginia· 27th of 51

$166

AK $339KY $120

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.