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Specialist Consultation For A Hospitalized Patient

Mississippi 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?

$105

Typical physician fee. In Mississippi, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $87.10 to $126.

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 $91 · 10th to 90th $68 to $105Professionalmedian $105 · 10th to 90th $72 to $151
$100facility $91professional $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
$67.61
Median
$91.20
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$162.18

Where Mississippi 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.

Mississippi· 46th of 51

$105

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.