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Comprehensive Specialist Consultation Visit

Kansas 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 $257 · 10th–90th $174$3800%10%10th90th$257Professionalmedian $209 · 10th–90th $155$2750%10%20%10th90th$209$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
$194.98
Median
$229.09
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$338.84