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

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

- Insurer: Aetna
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-10-05
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 25,131 | $5.89 | $73.08 | $82.82 | $97.44 | $766.04 |
| Alaska | 3,317 | $6.12 | $202.25 | $229.21 | $269.66 | $606.82 |
| American Samoa | 1 | $40.00 | $104.29 | $109.07 | $118.19 | $139.05 |
| Arizona | 30,876 | $5.89 | $78.27 | $88.70 | $104.36 | $15,972.52 |
| Arkansas | 11,526 | $6.12 | $101.16 | $114.64 | $123.90 | $638.00 |
| California | 125,901 | $5.89 | $105.00 | $119.00 | $140.00 | $766.04 |
| Colorado | 22,127 | $5.89 | $11.16 | $79.13 | $99.50 | $766.04 |
| Connecticut | 29,718 | $5.89 | $110.91 | $125.70 | $147.88 | $15,972.52 |
| Delaware | 6,109 | $5.89 | $45.10 | $110.56 | $168.64 | $631.90 |
| District of Columbia | 5,947 | $5.89 | $105.00 | $129.06 | $242.00 | $766.04 |
| Florida | 97,998 | $5.89 | $92.73 | $105.72 | $124.37 | $15,972.52 |
| Georgia | 41,203 | $5.89 | $99.36 | $113.99 | $134.11 | $766.04 |
| Guam | 43 | $6.41 | $101.88 | $119.87 | $152.05 | $444.93 |
| Hawaii | 889 | $5.89 | $93.71 | $114.75 | $138.34 | $15,972.52 |
| Idaho | 9,672 | $6.12 | $111.89 | $142.89 | $166.61 | $541.00 |
| Illinois | 38,939 | $5.89 | $106.29 | $134.41 | $179.21 | $766.04 |
| Indiana | 13,711 | $5.89 | $97.42 | $122.11 | $148.88 | $766.04 |
| Iowa | 8,581 | $5.89 | $97.44 | $110.44 | $129.92 | $766.04 |
| Kansas | 15,585 | $5.89 | $120.62 | $136.71 | $150.54 | $601.28 |
| Kentucky | 21,019 | $5.89 | $91.22 | $107.31 | $130.05 | $766.04 |
| Louisiana | 22,212 | $6.12 | $92.70 | $106.70 | $123.60 | $638.00 |
| Maine | 10,020 | $6.12 | $107.70 | $111.79 | $126.71 | $15,972.52 |
| Maryland | 42,106 | $5.89 | $93.69 | $110.23 | $153.12 | $766.04 |
| Massachusetts | 42,156 | $5.89 | $110.91 | $135.17 | $153.20 | $1,116.00 |
| Michigan | 52,523 | $5.89 | $92.10 | $104.38 | $122.79 | $766.04 |
| Minnesota | 48,245 | $5.89 | $93.78 | $106.29 | $125.04 | $766.04 |
| Mississippi | 12,238 | $5.89 | $98.14 | $111.23 | $130.86 | $766.04 |
| Missouri | 18,630 | $5.89 | $97.76 | $115.74 | $150.67 | $15,972.52 |
| Montana | 776 | $5.89 | $92.16 | $114.75 | $140.00 | $664.00 |
| Nebraska | 6,133 | $6.12 | $80.88 | $91.67 | $107.85 | $1,116.00 |
| Nevada | 12,682 | $5.89 | $38.00 | $108.15 | $122.57 | $15,972.52 |
| New Hampshire | 8,452 | $5.89 | $114.75 | $130.05 | $153.00 | $15,972.52 |
| New Jersey | 55,935 | $5.89 | $84.68 | $95.97 | $118.55 | $15,972.52 |
| New Mexico | 5,827 | $5.89 | $94.73 | $107.36 | $123.05 | $766.04 |
| New York | 105,569 | $5.89 | $90.92 | $111.79 | $136.49 | $766.04 |
| North Carolina | 45,549 | $5.89 | $116.77 | $127.97 | $145.03 | $766.04 |
| North Dakota | 3,014 | $5.89 | $92.37 | $96.10 | $122.71 | $15,972.52 |
| Northern Mariana Islands | 8 | $8.37 | $96.80 | $122.87 | $133.61 | $189.42 |
| Ohio | 68,566 | $5.89 | $87.92 | $132.39 | $225.43 | $15,972.52 |
| Oklahoma | 8,046 | $5.89 | $107.34 | $109.61 | $122.50 | $15,972.52 |
| Oregon | 14,246 | $5.89 | $110.06 | $149.19 | $201.73 | $766.04 |
| Pennsylvania | 62,991 | $5.88 | $30.00 | $101.37 | $131.13 | $766.04 |
| Puerto Rico | 299 | $5.89 | $90.92 | $107.77 | $129.82 | $638.00 |
| Rhode Island | 7,248 | $5.89 | $115.91 | $131.37 | $139.58 | $766.04 |
| South Carolina | 18,073 | $5.89 | $96.80 | $104.44 | $122.87 | $766.04 |
| South Dakota | 1,732 | $5.89 | $93.98 | $106.51 | $125.30 | $601.28 |
| Tennessee | 33,658 | $5.89 | $104.29 | $118.19 | $139.05 | $766.04 |
| Texas | 107,270 | $5.89 | $80.87 | $111.39 | $141.93 | $15,972.52 |
| U.S. Virgin Islands | 37 | $6.41 | $93.38 | $111.39 | $131.56 | $369.21 |
| Utah | 9,989 | $5.89 | $100.43 | $113.82 | $126.08 | $766.04 |
| Vermont | 1,259 | $5.89 | $102.38 | $117.13 | $137.80 | $15,972.52 |
| Virginia | 41,476 | $5.89 | $97.42 | $114.02 | $130.27 | $766.04 |
| Washington | 37,013 | $5.89 | $111.89 | $126.81 | $149.19 | $766.04 |
| West Virginia | 5,854 | $5.89 | $50.00 | $97.42 | $117.49 | $713.00 |
| Wisconsin | 14,600 | $5.89 | $87.95 | $99.68 | $117.27 | $766.04 |
| Wyoming | 1,124 | $6.12 | $90.40 | $102.45 | $120.53 | $580.77 |

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/aetna/statemap_99243_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)