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Detailed Specialist Consultation

Rhode Island 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?

$174

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $204 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 4 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$174$148 to $200
FacilityA hospital or hospital-owned outpatient department$204$174 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $174 to $204Professionalmedian $174 · 10th to 90th $126 to $229
$100$200facility $204professional $174

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
$173.78
Median
$173.78
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$275.42
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$346.74

Where Rhode Island 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.

Rhode Island· 10th of 51

$174

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.