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Hospital Consultation, Lower Complexity

Minnesota 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?

$141

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $129 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$145$105 to $195
FacilityA hospital or hospital-owned outpatient department$129$77.62 to $275

How much rates vary

Facilitymedian $129 · 10th to 90th $58 to $589Professionalmedian $145 · 10th to 90th $66 to $257
$10$20$50$100$200$500$1Kfacility $129professional $145

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
$57.54
Median
$66.07
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$134.90
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$190.55
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$162.18
Typical High
$234.42

Where Minnesota 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.

Minnesota· 3rd of 51

$141

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.