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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.

Facilitymedian $186 · 10th–90th $120$3550%10%20%10th90th$186Professionalmedian $182 · 10th–90th $135$2400%10%20%10th90th$182$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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

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