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Detailed Specialist Consultation

North Dakota 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 October 2026.

How much does Detailed Specialist Consultation cost?

$182

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $155 to $251.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $155 · 10th to 90th $138 to $186Professionalmedian $182 · 10th to 90th $138 to $363
$100$200$500$1Kfacility $155professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$154.88
Typical High
$186.21
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$77.62
Median
$77.62
Typical High
$91.20
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$23.44
Typical High
$27.54
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$15.49
Median
$15.49
Typical High
$18.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$154.88
Typical High
$218.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$74.13
Median
$77.62
Typical High
$91.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$23.44
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.79
Median
$15.49
Typical High
$18.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$177.83
Typical High
$263.03
Medica
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$186.21
Typical High
$467.74
Medica
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$331.13
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$208.93
Typical High
$363.08

Where North Dakota sits

The same service costs 2.3 times more in Alaska than in Alabama. 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.

North Dakota· 18th of 51

$182

AK $288AL $123

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.