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Detailed Specialist Consultation

Colorado 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?

$151

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $195 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 7 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$148$120 to $182
FacilityA hospital or hospital-owned outpatient department$195$155 to $245

How much rates vary

Facilitymedian $195 · 10th to 90th $112 to $302Professionalmedian $148 · 10th to 90th $87 to $224
$10$20$50$100$200$500facility $195professional $148

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
$11.22
Median
$81.28
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$144.54
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$316.23
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$489.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$354.81

Where Colorado 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.

Colorado· 40th of 51

$151

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.