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Hospital Consultation, Lower Complexity

Colorado 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?

$74.13

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $75.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$7.59 to $129
FacilityA hospital or hospital-owned outpatient department$75.86$6.92 to $107

How much rates vary

Facilitymedian $76 · 10th to 90th $6 to $141Professionalmedian $74 · 10th to 90th $6 to $155
$10$20$50$100$200facility $76professional $74

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
$5.13
Median
$6.92
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$64.57
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$147.91
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$169.82
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$223.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$151.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$173.78

Where Colorado 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.

Colorado· 48th of 51

$74.13

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.