go back

Comprehensive Specialist Consultation Visit

Oregon 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 $186$4370%20%10th90th$309Professionalmedian $224 · 10th–90th $148$5370%10%20%10th90th$224$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$181.97
Median
$416.87
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$426.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$512.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$263.03
Typical High
$436.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$398.11
Typical High
$524.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$707.95
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$524.81