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Care Coordination After Hospital Discharge, Complex

Connecticut rates for HCPCS 99496

This service covers the coordination and management of a patient's care during the weeks following a hospital stay, for cases involving more complex medical decision-making. It includes a face-to-face visit soon after discharge along with ongoing coordination such as medication review and communication with other providers. It's meant to help prevent complications or readmission during a vulnerable transition period.

Rates data updated July 2026.

How much does Care Coordination After Hospital Discharge, Complex cost?

$209

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $162 to $240.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158 · 10th to 90th $132 to $162Professionalmedian $209 · 10th to 90th $151 to $331
$200$500facility $158professional $209

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$281.84
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$478.63
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$371.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$426.58

Where Connecticut 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.

Connecticut· 48th of 51

$209

MN $389DE $186

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.