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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.

How much does Comprehensive Specialist Consultation Visit cost?

$204

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $275 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$200$166 to $275
FacilityA hospital or hospital-owned outpatient department$275$224 to $363

How much rates vary

Facilitymedian $275 · 10th to 90th $182 to $513Professionalmedian $200 · 10th to 90th $135 to $550
$20$50$100$200$500$1Kfacility $275professional $200

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
$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

Where Alaska sits

The same service costs 1.5 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· 16th of 51

$204

MN $275WV $178

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.