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Detailed Specialist Consultation

Florida 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?

$158

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $135 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 8 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$158$132 to $195
FacilityA hospital or hospital-owned outpatient department$135$117 to $155

How much rates vary

Facilitymedian $135 · 10th to 90th $110 to $191Professionalmedian $158 · 10th to 90th $112 to $295
$20$50$100$200$500facility $135professional $158

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
$109.65
Median
$134.90
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$288.40
AvMed
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$346.74
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$131.83
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$165.96

Where Florida 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.

Florida· 28th of 51

$158

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.