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Office Consultation, Brief

North Carolina 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?

$263

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $195 to $263.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $631 · 10th to 90th $126 to $631Professionalmedian $263 · 10th to 90th $62 to $263
$50$100$200$500facility $631professional $263

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
Professional
Modifier
Global
Typical Low
$72.44
Median
$194.98
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$85.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$128.82
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$85.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03

Where North Carolina 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.

North Carolina· 5th of 50

$263

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.