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Hospital Consultation, Lower Complexity

Nevada 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 negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 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$105$67.61 to $132
FacilityA hospital or hospital-owned outpatient department$115$7.59 to $132

How much rates vary

Facilitymedian $115 · 10th to 90th $8 to $155Professionalmedian $105 · 10th to 90th $52 to $178
$10$20$50$100$200facility $115professional $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
$7.59
Median
$114.82
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$107.15
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$134.90
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$95.50
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$0.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$134.90

Where Nevada 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.

Nevada· 26th 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.