go back

Specialist Consultation For A Hospitalized Patient

Minnesota 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?

$182

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $182 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$182$123 to $263
FacilityA hospital or hospital-owned outpatient department$182$110 to $389

How much rates vary

Facilitymedian $182 · 10th to 90th $81 to $912Professionalmedian $182 · 10th to 90th $95 to $372
$10$50$200$1Kfacility $182professional $182

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
$81.28
Median
$93.33
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$147.91
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$117.49
Typical High
$281.84
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$346.74

Where Minnesota 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.

Minnesota· 2nd of 51

$182

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.