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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 October 2026.

How much does Office Consultation, Brief cost?

$45.71

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $0.10 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$45.71$36.31 to $47.86
FacilityA hospital or hospital-owned outpatient department$0.10$0.10 to $25.70

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $112Professionalmedian $46 · 10th to 90th $36 to $66
$0.1$1$10$100facility $0professional $46

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
CDPHP
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$66.07
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$0.10
Median
$0.10
Typical High
$25.70
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$47.86
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$57.54
Typical High
$75.86
Univera
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20

Where New York 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.

New York· 44th of 49

$45.71

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.