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Comprehensive Specialist Consultation Visit

Mississippi 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 $141 · 10th–90th $123$1910%20%10th90th$141Professionalmedian $191 · 10th–90th $141$2450%10%20%10th90th$191$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
$123.03
Median
$141.25
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$218.78
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$42.66
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$302.00