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Inpatient Consultation, Straightforward

New York 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 $51 · 10th–90th $51$620%50%90th$51Professionalmedian $52 · 10th–90th $37$690%10%20%10th90th$52$20.0$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
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$61.66