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Office Consultation, Brief

Illinois rates for HCPCS 99241

A consultation in an office or clinic, where a doctor gives an opinion or advice on a problem at the request of another provider and then reports back to them. This is the shortest of the consultation visits, used for a straightforward problem, and typically takes about fifteen minutes face to face.

Rates data updated July 2026.

How much rates vary

Facilitymedian $120 · 10th to 90th $46 to $162Professionalmedian $49 · 10th to 90th $40 to $89
$50$100facility $120professional $49

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$104.71
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$89.13