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Comprehensive Specialist Consultation Visit

Montana 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 $309 · 10th–90th $195$3890%10%20%10th90th$309Professionalmedian $195 · 10th–90th $135$4470%10%10th90th$195$10.0$20.0$50.0$100.0$200.0$500.0

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
$125.89
Median
$190.55
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$389.05
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$380.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$436.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$331.13
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$389.05