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Detailed Specialist Consultation

Iowa 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 $219 · 10th–90th $135$3470%5%10%10th90th$219Professionalmedian $166 · 10th–90th $115$6030%10%10th90th$166$20.0$50.0$100.0$200.0$500.0$1.0K

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
$194.98
Median
$269.15
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$537.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$501.19
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$776.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$223.87