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Detailed Specialist Consultation

Washington 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.

Facilitymedian $219 · 10th–90th $141$3630%10%10th90th$219Professionalmedian $170 · 10th–90th $115$5250%10%10th90th$170$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$177.83
Median
$288.40
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$562.34
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$177.83
Typical High
$331.13
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$426.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$229.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$346.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$457.09
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$389.05
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$275.42