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Detailed Specialist Consultation

Utah 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 $155 · 10th–90th $138$1820%20%40%10th90th$155Professionalmedian $166 · 10th–90th $105$6170%10%10th90th$166$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$281.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$724.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$309.03