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Comprehensive Specialist Consultation Visit

Idaho 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 $263 · 10th–90th $178$4170%20%10th90th$263Professionalmedian $209 · 10th–90th $148$4170%20%10th90th$209$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$407.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$389.05
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$331.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$380.19