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Comprehensive Specialist Consultation Visit

Delaware 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 $10$1,0470%10%20%10th90th$186Professionalmedian $178 · 10th–90th $123$2450%10%10th90th$178$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
$9.55
Median
$186.21
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$346.74