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Comprehensive Specialist Consultation Visit

Colorado 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 $251 · 10th–90th $148$3800%20%10th90th$251Professionalmedian $182 · 10th–90th $20$2690%20%10th90th$182$0.2$1.0$5.0$20.0$100.0$500.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$81.28
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$181.97
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$407.38
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$645.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$213.80
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$436.52