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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.

Facilitymedian $182 · 10th–90th $91$2690%10%10th90th$182Professionalmedian $174 · 10th–90th $115$4170%10%10th90th$174$10.0$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
$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