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

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

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

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 21 | $100.00 | $202.31 | $265.84 | $424.84 | $548.02 |
| Alaska | 7 | $180.30 | $297.20 | $391.21 | $449.13 | $544.88 |
| Arizona | 193 | $65.00 | $190.15 | $277.02 | $427.59 | $548.02 |
| Arkansas | 29 | $140.33 | $205.67 | $254.81 | $426.49 | $548.02 |
| California | 46,945 | $65.00 | $196.98 | $348.67 | $456.68 | $548.02 |
| Colorado | 85 | $65.00 | $196.98 | $303.13 | $427.32 | $548.02 |
| Connecticut | 60 | $100.00 | $206.23 | $425.67 | $548.02 | $548.02 |
| Delaware | 7 | $189.56 | $274.16 | $426.49 | $548.02 | $548.02 |
| District of Columbia | 29 | $124.33 | $248.83 | $369.73 | $426.49 | $548.02 |
| Florida | 197 | $65.00 | $196.98 | $304.40 | $456.68 | $548.02 |
| Georgia | 83 | $65.00 | $196.98 | $277.02 | $456.68 | $548.02 |
| Guam | 6 | $140.33 | $169.54 | $213.94 | $249.66 | $285.48 |
| Hawaii | 53 | $125.81 | $205.30 | $424.84 | $533.09 | $548.02 |
| Idaho | 23 | $65.00 | $167.84 | $205.30 | $426.49 | $548.02 |
| Illinois | 200 | $65.00 | $237.72 | $369.73 | $548.02 | $548.02 |
| Indiana | 41 | $121.05 | $235.87 | $424.13 | $527.80 | $548.02 |
| Iowa | 21 | $173.12 | $269.76 | $424.84 | $472.49 | $548.02 |
| Kansas | 15 | $138.54 | $191.79 | $227.36 | $260.42 | $488.29 |
| Kentucky | 27 | $124.33 | $203.22 | $426.49 | $548.02 | $548.02 |
| Louisiana | 37 | $100.00 | $205.30 | $357.46 | $427.59 | $548.02 |
| Maine | 12 | $125.81 | $170.70 | $225.55 | $424.84 | $488.29 |
| Maryland | 93 | $65.00 | $256.97 | $427.59 | $548.02 | $548.02 |
| Massachusetts | 159 | $124.33 | $338.60 | $548.02 | $548.02 | $548.02 |
| Michigan | 108 | $65.00 | $205.30 | $304.40 | $476.55 | $548.02 |
| Minnesota | 177 | $100.00 | $357.46 | $426.49 | $476.55 | $548.02 |
| Mississippi | 9 | $100.00 | $148.27 | $205.30 | $456.68 | $482.05 |
| Missouri | 88 | $100.00 | $205.30 | $357.52 | $548.02 | $548.02 |
| Montana | 11 | $65.00 | $193.50 | $261.60 | $412.30 | $476.55 |
| Nebraska | 21 | $148.27 | $182.81 | $232.87 | $424.84 | $476.55 |
| Nevada | 130 | $65.00 | $190.72 | $260.79 | $426.49 | $548.02 |
| New Hampshire | 16 | $100.00 | $211.44 | $279.42 | $424.84 | $476.55 |
| New Jersey | 64 | $65.00 | $205.95 | $319.19 | $456.68 | $548.02 |
| New Mexico | 37 | $100.00 | $205.30 | $426.49 | $548.02 | $548.02 |
| New York | 291 | $65.00 | $219.43 | $424.84 | $548.02 | $548.02 |
| North Carolina | 68 | $65.00 | $161.89 | $277.02 | $456.68 | $548.02 |
| North Dakota | 11 | $100.00 | $223.12 | $294.94 | $461.65 | $476.55 |
| Northern Mariana Islands | 1 | $548.02 | $548.02 | $548.02 | $548.02 | $548.02 |
| Ohio | 98 | $65.00 | $205.39 | $350.38 | $530.73 | $548.02 |
| Oklahoma | 29 | $125.81 | $205.67 | $268.90 | $428.35 | $548.02 |
| Oregon | 132 | $65.00 | $203.62 | $424.84 | $476.55 | $548.02 |
| Pennsylvania | 189 | $65.00 | $205.30 | $357.46 | $548.02 | $548.02 |
| Puerto Rico | 4 | $205.30 | $227.05 | $234.30 | $289.90 | $456.68 |
| Rhode Island | 18 | $189.56 | $339.47 | $466.62 | $548.02 | $548.02 |
| South Carolina | 20 | $100.00 | $140.13 | $167.21 | $283.65 | $548.02 |
| South Dakota | 2 | $138.54 | $362.70 | $362.70 | $369.73 | $369.73 |
| Tennessee | 67 | $65.00 | $216.79 | $369.73 | $456.68 | $548.02 |
| Texas | 310 | $65.00 | $204.12 | $369.73 | $476.55 | $548.02 |
| Utah | 31 | $65.00 | $219.59 | $424.84 | $466.62 | $548.02 |
| Vermont | 9 | $100.00 | $200.42 | $282.60 | $408.00 | $488.29 |
| Virginia | 78 | $65.00 | $189.04 | $285.48 | $482.42 | $548.02 |
| Washington | 216 | $65.00 | $180.30 | $304.40 | $548.02 | $548.02 |
| West Virginia | 5 | $138.54 | $198.24 | $366.47 | $548.02 | $548.02 |
| Wisconsin | 60 | $138.54 | $247.78 | $363.60 | $488.29 | $548.02 |
| Wyoming | 3 | $135.53 | $162.56 | $196.98 | $205.30 | $227.36 |

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