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Inpatient Consultation, Straightforward

Virginia 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 does Inpatient Consultation, Straightforward cost?

$75.86

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $60.26 to $85.11.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $37 · 10th to 90th $37 to $37Professionalmedian $76 · 10th to 90th $50 to $178
$50$100facility $37professional $76

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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$85.11

Where Virginia sits

The same service costs 16.6 times more in Massachusetts than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 24th of 42

$75.86

MA $501SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.