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Hospital Consultation, Lower Complexity

Indiana 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?

$77.62

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 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 6 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$77.62$61.66 to $123
FacilityA hospital or hospital-owned outpatient department$75.86$61.66 to $89.13

How much rates vary

Facilitymedian $76 · 10th to 90th $51 to $93Professionalmedian $78 · 10th to 90th $52 to $148
$50$100$200facility $76professional $78

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
$47.86
Median
$74.13
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$131.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$91.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$120.23

Where Indiana 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.

Indiana· 47th of 51

$77.62

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.