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Detailed Specialist Consultation

Idaho 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?

$174

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $209 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$170$145 to $214
FacilityA hospital or hospital-owned outpatient department$209$166 to $263

How much rates vary

Facilitymedian $209 · 10th to 90th $138 to $331Professionalmedian $170 · 10th to 90th $117 to $324
$20$50$100$200$500facility $209professional $170

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
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$331.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$263.03
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$302.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$257.04
Select Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$338.84

Where Idaho 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.

Idaho· 11th of 51

$174

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.