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Detailed Specialist Consultation

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $182 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$174$141 to $240
FacilityA hospital or hospital-owned outpatient department$182$148 to $229

How much rates vary

Facilitymedian $182 · 10th to 90th $91 to $269Professionalmedian $174 · 10th to 90th $115 to $417
$20$50$100$200$500$1Kfacility $182professional $174

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
$147.91
Median
$199.53
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$416.87
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$933.25
Typical High
$933.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$354.81
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$208.93
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$257.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$416.87
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$933.25
Typical High
$933.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$426.58

Where Massachusetts 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.

Massachusetts· 8th 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.