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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 July 2026.

How much does Comprehensive Specialist Consultation Visit cost?

$195

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $214 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 5 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$195$166 to $229
FacilityA hospital or hospital-owned outpatient department$214$195 to $229

How much rates vary

Facilitymedian $214 · 10th to 90th $182 to $245Professionalmedian $195 · 10th to 90th $145 to $263
$20$50$100$200$500facility $214professional $195

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
$181.97
Median
$213.80
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$239.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$316.23

Where Arkansas 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.

Arkansas· 26th of 51

$195

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.