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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.

Rates data updated July 2026.

How much rates vary

Facilitymedian $158 · 10th to 90th $93 to $537Professionalmedian $85 · 10th to 90th $60 to $107
$100$200$500$1Kfacility $158professional $85

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$107.15