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Detailed Specialist Consultation

Maine 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?

$178

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $148 to $224.

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.

How much rates vary

Facilitymedian $141 · 10th to 90th $74 to $182Professionalmedian $178 · 10th to 90th $123 to $331
$100$200$500facility $141professional $178

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
$74.13
Median
$141.25
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$144.54
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$363.08
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$323.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$407.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$181.97
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$371.54

Where Maine 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.

Maine· 7th of 51

$178

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.