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Detailed Specialist Consultation

Wisconsin 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 $174 · 10th–90th $126$3240%10%10th90th$174Professionalmedian $178 · 10th–90th $105$5010%5%10%10th90th$178$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
$104.71
Median
$138.04
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$173.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$467.74
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$309.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$331.13
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$64.57
Typical High
$234.42
Network Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$562.34
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$309.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$316.23
Typical High
$467.74
Quartz
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$933.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$338.84
Typical High
$1,122.02
Security Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$331.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$371.54
Typical High
$549.54