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Comprehensive Specialist Consultation Visit

Minnesota 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.

How much does Comprehensive Specialist Consultation Visit cost?

$275

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$282$191 to $490
FacilityA hospital or hospital-owned outpatient department$234$191 to $324

How much rates vary

Facilitymedian $234 · 10th to 90th $166 to $490Professionalmedian $282 · 10th to 90th $155 to $589
$100$200$500$1K$2Kfacility $234professional $282

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$416.87
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$537.03
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$602.56

Where Minnesota sits

The same service costs 1.5 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 1st of 51

$275

MN $275WV $178

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.