go back

Detailed Specialist Consultation

Oregon 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?

$186

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $245 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$182$145 to $288
FacilityA hospital or hospital-owned outpatient department$245$182 to $316

How much rates vary

Facilitymedian $245 · 10th to 90th $148 to $347Professionalmedian $182 · 10th to 90th $117 to $427
$20$50$100$200$500facility $245professional $182

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
$147.91
Median
$309.03
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$398.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$309.03
Typical High
$407.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$549.54
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$436.52

Where Oregon 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.

Oregon· 5th of 51

$186

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.