go back

Comprehensive Specialist Consultation Visit

North Dakota 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 $195 · 10th–90th $166$3090%20%10th90th$195Professionalmedian $195 · 10th–90th $151$3390%10%20%10th90th$195$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
$165.96
Median
$190.55
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$489.78