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Hospital Consultation, Lower Complexity

Maryland 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?

$105

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $67.61 to $155.

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.

How much rates vary

Facilitymedian $72 · 10th to 90th $65 to $89Professionalmedian $105 · 10th to 90th $51 to $219
$5$10$20$50$100$200facility $72professional $105

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
$64.57
Median
$72.44
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$109.65
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$58.88
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$109.65

Where Maryland 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.

Maryland· 31st of 51

$105

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.