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Office Consultation, Brief

Pennsylvania 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?

$50.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $123 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$45.71 to $56.23
FacilityA hospital or hospital-owned outpatient department$123$87.10 to $148

How much rates vary

Facilitymedian $123 · 10th to 90th $72 to $191Professionalmedian $48 · 10th to 90th $38 to $76
$50$100facility $123professional $48

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
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$38.90
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$69.18
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$95.50
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$190.55
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$58.88
Typical High
$85.11

Where Pennsylvania 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.

Pennsylvania· 40th of 50

$50.12

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.