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Inpatient Consultation, Straightforward

Illinois rates for HCPCS 99251

A specialist's opinion requested by the team looking after you while you are in hospital. The specialist reviews the specific question asked, takes a focused history, examines you and sends back a written opinion and recommendations. This version covers a brief consultation about a comparatively simple question.

Facilitymedian $158 · 10th–90th $93$5370%10%10th90th$158Professionalmedian $56 · 10th–90th $41$720%10%20%10th90th$56$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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$56.23
Typical High
$72.44