# Specialist consultation (standard): what Medica pays, by state

A specialist's opinion visit, requested by another doctor, about 40 minutes.

- Insurer: Medica
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-10-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 20 | $106.31 | $165.72 | $249.64 | $313.89 | $452.21 |
| Alaska | 11 | $103.87 | $141.76 | $195.15 | $314.76 | $358.99 |
| Arizona | 84 | $90.37 | $136.16 | $194.78 | $249.64 | $459.47 |
| Arkansas | 34 | $104.46 | $130.93 | $189.18 | $245.68 | $296.82 |
| California | 127 | $88.29 | $153.17 | $204.13 | $313.34 | $459.47 |
| Colorado | 183 | $88.29 | $166.19 | $195.15 | $249.64 | $459.47 |
| Connecticut | 15 | $106.31 | $197.40 | $231.12 | $283.25 | $459.47 |
| Delaware | 3 | $106.31 | $221.71 | $290.58 | $322.14 | $341.95 |
| District of Columbia | 9 | $155.81 | $264.83 | $294.01 | $347.84 | $402.29 |
| Florida | 149 | $88.29 | $165.88 | $205.78 | $255.58 | $512.81 |
| Georgia | 62 | $88.29 | $134.45 | $212.21 | $291.89 | $498.04 |
| Guam | 1 | $129.91 | $142.14 | $179.22 | $222.24 | $252.32 |
| Hawaii | 6 | $88.60 | $173.35 | $195.15 | $271.37 | $296.82 |
| Idaho | 14 | $88.60 | $194.60 | $285.50 | $387.45 | $421.12 |
| Illinois | 1,053 | $88.97 | $128.81 | $183.79 | $212.21 | $512.81 |
| Indiana | 50 | $91.24 | $191.97 | $278.01 | $351.80 | $459.47 |
| Iowa | 2,227 | $88.29 | $90.37 | $106.31 | $106.31 | $459.47 |
| Kansas | 632 | $88.29 | $104.20 | $104.20 | $125.04 | $459.47 |
| Kentucky | 20 | $106.31 | $193.20 | $228.80 | $270.72 | $459.47 |
| Louisiana | 15 | $91.83 | $193.69 | $208.85 | $285.02 | $459.47 |
| Maine | 11 | $103.87 | $174.79 | $241.71 | $270.72 | $296.82 |
| Maryland | 24 | $88.60 | $195.15 | $296.82 | $388.09 | $459.47 |
| Massachusetts | 31 | $88.29 | $192.91 | $261.52 | $383.81 | $421.12 |
| Michigan | 105 | $88.60 | $169.99 | $249.64 | $349.80 | $499.17 |
| Minnesota | 16,837 | $88.60 | $283.82 | $353.79 | $404.93 | $512.81 |
| Mississippi | 10 | $103.87 | $204.47 | $232.97 | $251.65 | $296.82 |
| Missouri | 6,151 | $88.57 | $146.22 | $241.71 | $270.72 | $459.47 |
| Montana | 109 | $93.00 | $110.27 | $110.27 | $204.13 | $452.21 |
| Nebraska | 1,940 | $88.29 | $103.87 | $145.42 | $173.05 | $481.25 |
| Nevada | 22 | $88.29 | $194.78 | $195.15 | $237.12 | $459.47 |
| New Hampshire | 8 | $106.31 | $150.99 | $249.73 | $318.30 | $418.39 |
| New Jersey | 27 | $104.23 | $174.99 | $215.28 | $281.42 | $421.12 |
| New Mexico | 20 | $88.60 | $159.48 | $241.71 | $313.34 | $421.12 |
| New York | 94 | $88.60 | $165.88 | $249.64 | $360.19 | $459.47 |
| North Carolina | 50 | $106.31 | $129.64 | $215.28 | $336.22 | $512.81 |
| North Dakota | 2,287 | $103.87 | $194.41 | $232.21 | $251.12 | $512.81 |
| Ohio | 77 | $88.29 | $195.15 | $270.72 | $370.31 | $512.81 |
| Oklahoma | 1,194 | $88.29 | $106.55 | $125.35 | $146.24 | $357.95 |
| Oregon | 53 | $90.37 | $183.79 | $241.71 | $333.90 | $459.47 |
| Pennsylvania | 74 | $88.29 | $150.98 | $226.01 | $330.53 | $459.47 |
| Puerto Rico | 1 | $353.79 | $402.04 | $427.34 | $442.29 | $459.47 |
| Rhode Island | 9 | $106.31 | $129.84 | $273.23 | $361.24 | $421.12 |
| South Carolina | 32 | $103.87 | $117.54 | $195.15 | $288.18 | $459.47 |
| South Dakota | 2,455 | $88.29 | $189.18 | $204.13 | $247.08 | $459.47 |
| Tennessee | 46 | $88.29 | $127.63 | $194.41 | $269.69 | $442.06 |
| Texas | 175 | $88.29 | $129.77 | $195.15 | $249.64 | $459.47 |
| Utah | 34 | $88.60 | $122.23 | $194.41 | $213.35 | $452.21 |
| Vermont | 5 | $88.60 | $242.43 | $334.03 | $418.32 | $459.47 |
| Virginia | 41 | $90.37 | $189.53 | $226.01 | $349.80 | $459.47 |
| Washington | 80 | $88.29 | $195.15 | $270.72 | $387.45 | $459.47 |
| West Virginia | 10 | $107.04 | $177.88 | $195.15 | $425.60 | $481.25 |
| Wisconsin | 3,148 | $53.28 | $205.76 | $283.41 | $336.99 | $499.17 |
| Wyoming | 125 | $88.29 | $109.41 | $131.29 | $153.17 | $336.99 |

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/medica/statemap_99243_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)