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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 July 2026.

How much does Office Consultation, Brief cost?

$56.23

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $56.23 for this service. Most negotiated rates run $48.98 to $69.18.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $62 · 10th to 90th $49 to $93Professionalmedian $55 · 10th to 90th $35 to $79
$100$1K$10Kfacility $62professional $55

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
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$63.10
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$58.88
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Kentucky sits

The same service costs 8.7 times more in Massachusetts than in South Carolina. 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· 35th of 50

$56.23

MA $263SC $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.