go back

Comprehensive Specialist Consultation Visit

Alabama 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?

$182

Typical physician fee. In Alabama, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $155 to $209.

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.

How much rates vary

Facilitymedian $186 · 10th to 90th $120 to $355Professionalmedian $182 · 10th to 90th $135 to $240
$20$50$100$200facility $186professional $182

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
$134.90
Median
$181.97
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$316.23

Where Alabama 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.

Alabama· 48th of 51

$182

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.