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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.

How much does Detailed Specialist Consultation cost?

$151

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

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $126 to $182.

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 $646 · 10th to 90th $129 to $646Professionalmedian $151 · 10th to 90th $107 to $209
$10$20$50$100$200$500facility $646professional $151

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
$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

Where Washington, DC 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.

Washington, DC· 39th 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.