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Office Consultation, Brief

New York 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?

$36.31

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $34.67 to $47.86.

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 $26 · 10th to 90th $0 to $141Professionalmedian $36 · 10th to 90th $31 to $66
$0.1$1$10$100facility $26professional $36

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$66.07
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$34.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$36.31
Typical High
$47.86
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$81.28
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$85.11

Where New York 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.

New York· 49th of 50

$36.31

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.