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Detailed Specialist Consultation

Delaware 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?

$145

Typical physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $120 to $170.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $18Professionalmedian $145 · 10th to 90th $98 to $204
$10$20$50$100$200$500facility $9professional $145

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
$7.59
Median
$9.12
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$275.42

Where Delaware 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.

Delaware· 50th of 51

$145

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.