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Detailed Specialist Consultation

Arizona 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.

How much does Detailed Specialist Consultation cost?

$158

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $170 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$158$129 to $195
FacilityA hospital or hospital-owned outpatient department$170$141 to $219

How much rates vary

Facilitymedian $170 · 10th to 90th $123 to $316Professionalmedian $158 · 10th to 90th $110 to $468
$20$50$100$200$500$1Kfacility $170professional $158

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
$104.71
Median
$229.09
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$316.23

Where Arizona sits

The same service costs 1.5 times more in Minnesota than in West Virginia. 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.

Arizona· 24th of 51

$158

MN $219WV $141

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.