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Detailed Specialist Consultation

Nebraska 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 Nebraska, 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 $200 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 8 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$132 to $195
FacilityA hospital or hospital-owned outpatient department$200$151 to $257

How much rates vary

Facilitymedian $200 · 10th to 90th $126 to $389Professionalmedian $155 · 10th to 90th $110 to $269
$20$50$100$200$500$1Kfacility $200professional $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
$95.50
Median
$114.82
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$309.03
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$398.11
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$588.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$0.19
Median
$66.07
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$223.87
Typical High
$398.11

Where Nebraska 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.

Nebraska· 34th 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.