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Hospital Consultation, Lower Complexity

Nebraska 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?

$85.11

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $115 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$85.11$64.57 to $170
FacilityA hospital or hospital-owned outpatient department$115$67.61 to $162

How much rates vary

Facilitymedian $115 · 10th to 90th $58 to $200Professionalmedian $85 · 10th to 90th $51 to $245
$50$100$200facility $115professional $85

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$117.49
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$204.17

Where Nebraska 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.

Nebraska· 42nd of 51

$85.11

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.