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Office Consultation, Brief

Kentucky 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?

$36.31

Typical physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $27.54 to $38.02.

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 $69 · 10th to 90th $49 to $79Professionalmedian $36 · 10th to 90th $26 to $48
$50facility $69professional $36

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
$48.98
Median
$69.18
Typical High
$79.43
CareSource
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$58.88
Typical High
$70.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$44.67
Typical High
$61.66
Molina
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$35.48
Typical High
$38.02
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$57.54
Typical High
$85.11

Where Kentucky 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.

Kentucky· 46th of 49

$36.31

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.