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Comprehensive Specialist Consultation Visit

Oklahoma 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?

$186

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 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$186$158 to $224
FacilityA hospital or hospital-owned outpatient department$234$186 to $275

How much rates vary

Facilitymedian $234 · 10th to 90th $170 to $347Professionalmedian $186 · 10th to 90th $132 to $257
$20$50$100$200$500facility $234professional $186

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
$173.78
Median
$173.78
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$229.09
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$363.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$316.23

Where Oklahoma 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.

Oklahoma· 43rd of 51

$186

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.