go back

Detailed Specialist Consultation

New Mexico 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?

$158

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $195 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 6 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$158$132 to $191
FacilityA hospital or hospital-owned outpatient department$195$158 to $245

How much rates vary

Facilitymedian $195 · 10th to 90th $135 to $302Professionalmedian $158 · 10th to 90th $112 to $269
$20$50$100$200$500facility $195professional $158

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
$112.20
Median
$158.49
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$158.49
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$316.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$194.98
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$354.81

Where New Mexico 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.

New Mexico· 21st of 51

$158

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.