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Outpatient Specialist Consultation Visit

Wyoming 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?

$74.13

Typical physician fee. In Wyoming, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $50.12 to $105.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $55 to $166Professionalmedian $74 · 10th to 90th $5 to $135
$5$10$20$50$100facility $100professional $74

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$67.61
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$204.17

Where Wyoming 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.

Wyoming· 38th of 51

$74.13

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.