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Hospital Consultation, Moderate Complexity

Wyoming 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?

$219

Typical physician fee. In Wyoming, October 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $186 to $245.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138 · 10th to 90th $123 to $162Professionalmedian $219 · 10th to 90th $138 to $269
$200$500facility $138professional $219

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
$123.03
Median
$138.04
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$151.36
Typical High
$199.53
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$245.47
Typical High
$245.47
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$141.25
Median
$173.78
Typical High
$173.78
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$39.81
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$269.15
Typical High
$478.63

Where Wyoming 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.

Wyoming· 7th of 51

$219

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.