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Hospital Consultation, Lower Complexity

Alabama rates for HCPCS 99252

A specialist's opinion on a hospital patient, requested by the doctor already caring for them. The consultant takes a history, examines the patient, reviews the records, and writes back with advice. This is one of the shorter consultations of its kind, for a problem that is fairly limited in complexity.

Rates data updated July 2026.

How much does Hospital Consultation, Lower Complexity cost?

$70.79

Typical physician fee. In Alabama, July 2026.

Insurers have agreed to pay about $70.79 for this service. Most negotiated rates run $57.54 to $115.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $60 · 10th to 90th $47 to $79Professionalmedian $72 · 10th to 90th $47 to $135
$10$20$50$100$200facility $60professional $72

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$125.89

Where Alabama sits

The same service costs 2.3 times more in South Dakota than in Washington, DC. 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.

Alabama· 50th of 51

$70.79

SD $158DC $67.61

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.