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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.

Facilitymedian $141 · 10th–90th $74$1820%20%10th90th$141Professionalmedian $178 · 10th–90th $123$3310%20%10th90th$178$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$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