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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 October 2026.

How much does Office Consultation, Brief cost?

$64.57

Typical physician fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $51.29 to $75.86.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $105 · 10th to 90th $65 to $151Professionalmedian $65 · 10th to 90th $46 to $76
$50$100$200facility $105professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$47.86
Geisinger
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$46.77
Typical High
$69.18
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$54.95
Typical High
$114.82
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$104.71
Typical High
$151.36
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$64.57
Typical High
$75.86
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$57.54
Typical High
$67.61

Where Pennsylvania 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.

Pennsylvania· 22nd of 49

$64.57

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.