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Hospital Consultation, Moderate Complexity

New Hampshire 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.

How much does Hospital Consultation, Moderate Complexity cost?

$200

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $162 to $282.

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 $355 · 10th to 90th $219 to $513Professionalmedian $200 · 10th to 90th $138 to $363
$200$500facility $355professional $200

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
$218.78
Median
$354.81
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$354.81
Optum
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$457.09

Where New Hampshire sits

The same service costs 2.0 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· 9th of 51

$200

SD $263DC $132

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.