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Comprehensive Specialist Consultation Visit

Arkansas 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 October 2026.

How much does Comprehensive Specialist Consultation Visit cost?

$204

Typical physician fee. In Arkansas, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $182 to $224.

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 $195 · 10th to 90th $182 to $229Professionalmedian $204 · 10th to 90th $158 to $245
$200facility $195professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$194.98
Typical High
$229.09
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$100.00
Typical High
$114.82
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$29.51
Median
$30.20
Typical High
$33.88
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$19.50
Median
$19.95
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$194.98
Typical High
$245.47
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$100.00
Typical High
$114.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$29.51
Median
$30.20
Typical High
$33.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$19.50
Median
$19.95
Typical High
$22.91
Ambetter
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$204.17
Typical High
$245.47
CareSource
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$269.15
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$204.17
Typical High
$263.03

Where Arkansas sits

The same service costs 2.4 times more in Alaska than in Alabama. 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.

Arkansas· 27th of 51

$204

AK $380AL $158

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.