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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 July 2026.

Facilitymedian $646 · 10th–90th $129$6460%50%10th$646Professionalmedian $151 · 10th–90th $107$2090%10%10th90th$151$10.0$20.0$50.0$100.0$200.0$500.0

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
$128.82
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$199.53
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$177.83
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$354.81