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Detailed Specialist Consultation

Nationwide rates for HCPCS 99244

This office visit covers a thorough consultation with a specialist, called in by another doctor to evaluate a specific problem and give an opinion or recommendation back to the referring provider. It involves a detailed history, a comprehensive examination, and decision-making of moderate complexity. A written report is typically sent back to the doctor who requested the opinion.

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $115$3160%20%40%10th90th$182Professionalmedian $162 · 10th–90th $110$3470%20%40%10th90th$162$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$398.11