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Detailed Specialist Consultation

Georgia 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?

$162

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $148 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$162$135 to $200
FacilityA hospital or hospital-owned outpatient department$148$135 to $195

How much rates vary

Facilitymedian $148 · 10th to 90th $126 to $245Professionalmedian $162 · 10th to 90th $117 to $309
$20$50$100$200$500facility $148professional $162

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
$125.89
Median
$147.91
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$181.97
CareSource
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$354.81
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,570.40
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$186.21
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$346.74

Where Georgia 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.

Georgia· 18th of 51

$162

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.