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Detailed Specialist Consultation

Maryland 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?

$151

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $129 to $186.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $141 · 10th to 90th $112 to $182Professionalmedian $151 · 10th to 90th $105 to $257
$10$20$50$100$200$500facility $141professional $151

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$251.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$288.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$239.88

Where Maryland 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.

Maryland· 42nd of 51

$151

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.