Specialist consultation (extended)

A specialist's opinion visit, requested by another doctor, about 60 minutes.
Code 99244 · Office visits · statewide summary · negotiated in-network prices
Payers shown: Medica
Prices shown: in-person office visits only
Doctor’s fee or facility fee? These are doctors' fees for a visit in their own office. An independent practice usually charges nothing more, but a clinic owned by a hospital may add a separate facility fee — worth asking before you book. (About 3% of these prices are facility fees instead, which can show up as unusually high prices.)
Who is counted: Medica lists clinicians individually: 99% of the 60,993 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs.
Not on this map: Care outside Medica's own network: for many plans Medica rents UnitedHealthcare's national networks (Choice Plus and Options PPO), and for some MultiPlan (PHCS), Midlands Choice and Healthcare Highways. Those prices are set by those networks, so they are not included here. Mental health care: Medica rents Optum's behavioral health network; its prices are not included here.
StateProvidersOrganisationsZip codes Lowest25th pctMedian75th pctHighest
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.