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Office Consultation, Brief

Indiana 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 October 2026.

How much does Office Consultation, Brief cost?

$47.86

Typical physician fee. In Indiana, October 2026.

Insurers have agreed to pay about $47.86 for this service. Most negotiated rates run $38.02 to $56.23.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60 · 10th to 90th $60 to $60Professionalmedian $48 · 10th to 90th $34 to $68
$50$100facility $60professional $48

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

Rates by insurance carrier

Insurance Carrier
CareSource
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
CareSource
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$47.86
Typical High
$67.61
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$33.11
Typical High
$47.86
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$48.98
Typical High
$70.79

Where Indiana sits

The same service costs 8.7 times more in Tennessee than in Idaho. 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.

Indiana· 40th of 49

$47.86

TN $263ID $30.20

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.