go back

Comprehensive Specialist Consultation Visit

Alaska rates for HCPCS 99245

This is an in-depth office visit where a specialist evaluates a patient at the request of another provider, involving a thorough review of the patient's history, a detailed examination, and complex medical decision-making. It represents the most involved level of this type of consultation, typically used for patients with complicated or multiple medical problems. A written report is usually sent back to the referring provider afterward.

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $182$5130%10%10th90th$275Professionalmedian $200 · 10th–90th $135$5500%10%10th90th$200$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$616.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$501.19
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$1,047.13
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
$181.97
Median
$275.42
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$323.59
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$416.87
Typical High
$741.31