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Specialist Consultation For A Hospitalized Patient

Alaska rates for HCPCS 99253

This covers an initial evaluation of a hospitalized patient by a specialist at the request of another treating doctor, seeking advice or a second opinion on the patient's care. It involves a detailed review of the patient's history and a physical exam, along with medical decision-making of low complexity. The requesting doctor remains involved in the patient's care alongside the consulting specialist.

Rates data updated July 2026.

How much does Specialist Consultation For A Hospitalized Patient cost?

$162

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $209 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 5 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$158$105 to $245
FacilityA hospital or hospital-owned outpatient department$209$141 to $275

How much rates vary

Facilitymedian $209 · 10th to 90th $115 to $347Professionalmedian $158 · 10th to 90th $10 to $309
$10$20$50$100$200$500facility $209professional $158

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
$229.09
Median
$263.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$147.91
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$295.12
Typical High
$398.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$346.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$380.19

Where Alaska sits

The same service costs 2.2 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.

Alaska· 4th of 51

$162

SD $209DC $95.50

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.