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Hospital Consultation, Moderate Complexity

Nebraska 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 October 2026.

How much does Hospital Consultation, Moderate Complexity cost?

$269

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $251 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$174 to $339
FacilityA hospital or hospital-owned outpatient department$251$112 to $363

How much rates vary

Facilitymedian $251 · 10th to 90th $100 to $676Professionalmedian $269 · 10th to 90th $129 to $479
$100$200$500$1Kfacility $251professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$100.00
Median
$112.20
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$147.91
Typical High
$295.12
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$309.03
Typical High
$338.84
Medica
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$251.19
Typical High
$676.08
Medica
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$323.59
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$316.23
Typical High
$346.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$346.74
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$281.84
Typical High
$478.63

Where Nebraska sits

The same service costs 2.4 times more in Alaska than in Alabama. 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.

Nebraska· 3rd of 51

$269

AK $288AL $120

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.