go back

Hospital Consultation, Lower Complexity

South Carolina 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?

$93.33

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $66.07 to $132.

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 $78 · 10th to 90th $59 to $148Professionalmedian $93 · 10th to 90th $59 to $170
$50$100$200facility $78professional $93

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
$58.88
Median
$66.07
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$141.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$128.82

Where South Carolina 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.

South Carolina· 39th of 51

$93.33

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.