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Detailed Specialist Consultation

Virginia 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 $186 · 10th–90th $132$2950%20%10th90th$186Professionalmedian $151 · 10th–90th $107$2450%20%10th90th$151$0.0$0.2$2.0$20.0$200.0$2.0K

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
$144.54
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$123.03
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$309.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$309.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$380.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$288.40
Sentara
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$346.74