go back

Specialist Office Consultation

Alaska rates for HCPCS 99243

This service covers an office visit where a specialist reviews a patient's specific health problem at the request of another treating clinician and provides an opinion or recommendation. It involves a detailed review of the person's history and a focused examination, along with medical decision-making of low complexity. A written report is typically sent back to the requesting clinician.

Rates data updated July 2026.

How much does Specialist Office Consultation cost?

$117

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$87.10 to $166
FacilityA hospital or hospital-owned outpatient department$148$117 to $200

How much rates vary

Facilitymedian $148 · 10th to 90th $93 to $269Professionalmedian $115 · 10th to 90th $69 to $288
$10.0$50.0$200.0$1.0Kfacility $148professional $115

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
$204.17
Median
$251.19
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$549.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$147.91
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$169.82
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$229.09
Typical High
$371.54

Where Alaska sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $117 · 12th of 51
MN $145WV $97.72

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.