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Inpatient Consultation, Straightforward

Michigan 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 $123 · 10th–90th $50$1380%20%40%10th90th$123Professionalmedian $55 · 10th–90th $47$660%20%10th90th$55$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$123.03
Typical High
$138.04
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$72.44