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Detailed Specialist Consultation

Nevada 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?

$148

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $145 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 7 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$148$126 to $182
FacilityA hospital or hospital-owned outpatient department$145$145 to $158

How much rates vary

Facilitymedian $145 · 10th to 90th $100 to $166Professionalmedian $148 · 10th to 90th $107 to $257
$20$50$100$200$500facility $145professional $148

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$147.91
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$281.84
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$186.21
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$158.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$309.03

Where Nevada 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.

Nevada· 47th of 51

$148

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.