# Specialist consultation (standard): what Blue Cross Blue Shield of Michigan pays, by state

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

- Insurer: Blue Cross Blue Shield of Michigan
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-08-05
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 40 | $111.56 | $135.22 | $135.22 | $135.22 | $182.55 |
| Alaska | 15 | $128.46 | $135.22 | $135.22 | $148.74 | $182.55 |
| Arizona | 171 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Arkansas | 23 | $128.46 | $128.46 | $135.22 | $135.22 | $182.55 |
| California | 390 | $111.56 | $135.22 | $135.22 | $135.22 | $245.60 |
| Colorado | 167 | $128.46 | $135.22 | $135.22 | $162.26 | $245.60 |
| Connecticut | 52 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Delaware | 10 | $128.46 | $128.46 | $135.22 | $147.05 | $182.55 |
| District of Columbia | 28 | $128.46 | $135.22 | $135.22 | $182.55 | $182.55 |
| Florida | 585 | $108.18 | $135.22 | $135.22 | $135.22 | $245.60 |
| Georgia | 154 | $128.46 | $135.22 | $135.22 | $135.22 | $245.60 |
| Guam | 2 | $128.46 | $130.15 | $135.22 | $135.22 | $162.26 |
| Hawaii | 14 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Idaho | 21 | $128.46 | $135.22 | $135.22 | $172.41 | $182.55 |
| Illinois | 609 | $108.18 | $135.22 | $135.22 | $135.22 | $245.60 |
| Indiana | 448 | $128.46 | $135.22 | $135.22 | $135.22 | $245.60 |
| Iowa | 49 | $128.46 | $135.22 | $135.22 | $152.12 | $245.60 |
| Kansas | 26 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Kentucky | 82 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Louisiana | 47 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Maine | 30 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Maryland | 90 | $111.56 | $135.22 | $135.22 | $135.22 | $245.60 |
| Massachusetts | 112 | $111.56 | $135.22 | $135.22 | $135.22 | $245.60 |
| Michigan | 62,860 | $68.00 | $135.22 | $135.22 | $135.22 | $245.60 |
| Minnesota | 263 | $128.46 | $135.22 | $135.22 | $141.98 | $182.55 |
| Mississippi | 22 | $108.18 | $135.22 | $135.22 | $135.22 | $182.55 |
| Missouri | 92 | $128.46 | $135.22 | $135.22 | $135.22 | $245.60 |
| Montana | 22 | $128.46 | $128.46 | $135.22 | $182.55 | $182.55 |
| Nebraska | 17 | $128.46 | $130.15 | $135.22 | $170.72 | $182.55 |
| Nevada | 45 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| New Hampshire | 17 | $128.46 | $128.46 | $135.22 | $159.89 | $182.55 |
| New Jersey | 57 | $111.56 | $135.22 | $135.22 | $135.22 | $182.55 |
| New Mexico | 28 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| New York | 227 | $128.46 | $135.22 | $135.22 | $135.22 | $245.60 |
| North Carolina | 143 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| North Dakota | 16 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Northern Mariana Islands | 1 | $135.22 | $135.22 | $135.22 | $135.22 | $135.22 |
| Ohio | 1,665 | $111.56 | $135.22 | $135.22 | $135.22 | $245.60 |
| Oklahoma | 36 | $128.46 | $135.22 | $135.22 | $135.22 | $245.60 |
| Oregon | 63 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Pennsylvania | 222 | $128.46 | $135.22 | $135.22 | $135.22 | $245.60 |
| Puerto Rico | 5 | $128.46 | $135.22 | $135.22 | $182.55 | $182.55 |
| Rhode Island | 13 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| South Carolina | 77 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| South Dakota | 17 | $128.46 | $135.22 | $135.22 | $162.26 | $182.55 |
| Tennessee | 115 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Texas | 388 | $128.46 | $135.22 | $135.22 | $141.98 | $245.60 |
| Utah | 26 | $128.46 | $135.22 | $135.22 | $182.55 | $182.55 |
| Vermont | 11 | $128.46 | $135.22 | $135.22 | $182.55 | $182.55 |
| Virginia | 163 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Washington | 145 | $111.56 | $128.46 | $135.22 | $135.22 | $245.60 |
| West Virginia | 30 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |
| Wisconsin | 394 | $128.46 | $135.22 | $182.55 | $182.55 | $182.55 |
| Wyoming | 12 | $128.46 | $135.22 | $135.22 | $135.22 | $182.55 |

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