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Outpatient Specialist Consultation Visit

Alaska rates for HCPCS 99242

In this type of visit, a doctor requests the opinion or advice of another physician or qualified health professional about a specific problem with a patient's care. The consulting clinician evaluates the patient and sends a written report back to the requesting doctor. This particular level involves a relatively limited amount of history-taking, examination, and decision-making compared to higher levels of the same type of visit.

Rates data updated July 2026.

How much does Outpatient Specialist Consultation Visit cost?

$89.13

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $112 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 6 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$89.13$60.26 to $138
FacilityA hospital or hospital-owned outpatient department$112$81.28 to $145

How much rates vary

Facilitymedian $112 · 10th to 90th $63 to $200Professionalmedian $89 · 10th to 90th $46 to $200
$10$20$50$100$200$500facility $112professional $89

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$363.08
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$194.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$275.42

Where Alaska sits

The same service costs 1.7 times more in Minnesota than in West Virginia. 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.

Alaska· 15th of 51

$89.13

MN $115WV $66.07

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.