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Hospital Consultation, Lower Complexity

Connecticut 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?

$112

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $112 for this service. Most negotiated rates run $77.62 to $135.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $132 · 10th to 90th $129 to $186Professionalmedian $112 · 10th to 90th $62 to $174
$50$100$200facility $132professional $112

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
$128.82
Median
$131.83
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$112.20
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$141.25
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$177.83

Where Connecticut 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.

Connecticut· 22nd of 51

$112

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.