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Hospital Consultation, Moderate Complexity

Montana rates for HCPCS 99254

This describes a visit where one physician asks another physician, usually a specialist, to evaluate a hospitalized patient and give an opinion or recommendation on a moderately complex medical problem. The consulting physician reviews the case, examines the patient, and documents findings and recommendations back to the physician who requested the opinion.

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $204$2950%20%40%10th90th$240Professionalmedian $191 · 10th–90th $135$5620%10%20%10th90th$191$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$275.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$281.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$281.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$407.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$331.13