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Detailed Specialist Consultation

Vermont 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?

$191

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $162 to $245.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $123 · 10th to 90th $102 to $204Professionalmedian $191 · 10th to 90th $135 to $575
$10$20$50$100$200$500facility $123professional $191

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
$102.33
Median
$114.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$309.03
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$398.11

Where Vermont 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.

Vermont· 3rd of 51

$191

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.