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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.

Facilitymedian $195 · 10th–90th $135$3020%10%10th90th$195Professionalmedian $158 · 10th–90th $112$2690%10%10th90th$158$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
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