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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 July 2026.

How much does Detailed Specialist Consultation cost?

$155

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $155 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 4 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$155$138 to $195
FacilityA hospital or hospital-owned outpatient department$155$138 to $186

How much rates vary

Facilitymedian $155 · 10th to 90th $126 to $251Professionalmedian $155 · 10th to 90th $120 to $257
$100$200$500facility $155professional $155

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
$125.89
Median
$151.36
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$407.38

Where North Dakota 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.

North Dakota· 29th of 51

$155

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.