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Comprehensive Specialist Consultation Visit

Connecticut 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 $195 · 10th–90th $60$2690%10%10th90th$195Professionalmedian $195 · 10th–90th $135$2950%10%10th90th$195$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$190.55
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$426.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$309.03
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$436.52