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Detailed Specialist Consultation

Kentucky 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?

$148

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $132 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 7 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$148$120 to $186
FacilityA hospital or hospital-owned outpatient department$132$115 to $155

How much rates vary

Facilitymedian $132 · 10th to 90th $100 to $186Professionalmedian $148 · 10th to 90th $102 to $275
$20$50$100$200$500facility $132professional $148

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
$100.00
Median
$128.82
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$177.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$186.21
CareSource
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$169.82
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$281.84

Where Kentucky 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.

Kentucky· 44th of 51

$148

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.