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Detailed Specialist Consultation

Washington, DC 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 October 2026.

How much does Detailed Specialist Consultation cost?

$138

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $115 to $166.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138 · 10th to 90th $112 to $182Professionalmedian $138 · 10th to 90th $87 to $204
$100$200$500facility $138professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$138.04
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$144.54
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$75.86
Typical High
$91.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$22.39
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$15.14
Typical High
$18.20
CareFirst
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$87.10
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$138.04
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$177.83
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$165.96
Typical High
$316.23

Where Washington, DC sits

The same service costs 2.3 times more in Alaska than in Alabama. 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.

Washington, DC· 46th of 51

$138

AK $288AL $123

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.