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Detailed Specialist Consultation

Montana 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?

$170

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $234 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 5 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$162$132 to $214
FacilityA hospital or hospital-owned outpatient department$234$195 to $275

How much rates vary

Facilitymedian $234 · 10th to 90th $151 to $309Professionalmedian $162 · 10th to 90th $105 to $457
$20$50$100$200$500facility $234professional $162

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
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$302.00
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$302.00
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$331.13

Where Montana 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.

Montana· 13th of 51

$170

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.