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Detailed Specialist Consultation

Minnesota 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?

$219

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $178 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 6 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$219$151 to $372
FacilityA hospital or hospital-owned outpatient department$178$145 to $245

How much rates vary

Facilitymedian $178 · 10th to 90th $123 to $380Professionalmedian $219 · 10th to 90th $120 to $457
$100$200$500$1Kfacility $178professional $219

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
$109.65
Median
$134.90
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$245.47
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$346.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$338.84
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$426.58
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$467.74

Where Minnesota 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.

Minnesota· 1st of 51

$219

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.