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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.

Facilitymedian $234 · 10th–90th $166$4900%10%10th90th$234Professionalmedian $282 · 10th–90th $155$5890%5%10th90th$282$10.0$50.0$200.0$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
$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