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Specialist Consultation For A Hospitalized Patient

New Hampshire 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?

$141

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $117 to $200.

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.

How much rates vary

Facilitymedian $245 · 10th to 90th $151 to $355Professionalmedian $141 · 10th to 90th $105 to $251
$100$200facility $245professional $141

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
$151.36
Median
$245.47
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$239.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$257.04
Optum
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$316.23
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$302.00

Where New Hampshire 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.

New Hampshire· 13th of 51

$141

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.