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Inpatient Consultation, Straightforward

Ohio 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 $49 · 10th to 90th $49 to $49Professionalmedian $55 · 10th to 90th $43 to $110
$50$100facility $49professional $55

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
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$117.49