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Specialist Office Consultation

Mississippi 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?

$105

Typical negotiated rate. In Mississippi, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $81.28 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$105$87.10 to $126
FacilityA hospital or hospital-owned outpatient department$81.28$69.18 to $87.10

How much rates vary

Facilitymedian $81 · 10th to 90th $60 to $102Professionalmedian $105 · 10th to 90th $72 to $145
$20.0$50.0$100.0$200.0$500.0facility $81professional $105

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
$60.26
Median
$75.86
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$181.97
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.11
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$173.78

Where Mississippi 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.

Mississippi $105 · 41st 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.