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Office Consultation, Brief

Wisconsin 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?

$148

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $70.79 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$148$100 to $257
FacilityA hospital or hospital-owned outpatient department$70.79$60.26 to $631

How much rates vary

Facilitymedian $71 · 10th to 90th $37 to $631Professionalmedian $148 · 10th to 90th $89 to $263
$50$100$200$500facility $71professional $148

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$630.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$45.71
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$85.11

Where Wisconsin 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.

Wisconsin· 15th of 50

$148

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.