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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.

Facilitymedian $234 · 10th–90th $151$3090%10%20%10th90th$234Professionalmedian $162 · 10th–90th $105$4570%10%10th90th$162$10.0$20.0$50.0$100.0$200.0$500.0

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
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