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

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

- Insurer: Capital BlueCross
- 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 | 28 | $86.69 | $122.48 | $150.77 | $208.71 | $287.44 |
| Alaska | 5 | $104.11 | $131.44 | $169.58 | $195.59 | $287.44 |
| Arizona | 77 | $86.69 | $122.48 | $122.48 | $200.35 | $296.01 |
| Arkansas | 19 | $104.11 | $122.48 | $190.60 | $208.71 | $296.01 |
| California | 330 | $86.69 | $122.48 | $122.48 | $200.35 | $296.01 |
| Colorado | 99 | $93.19 | $122.48 | $122.48 | $180.85 | $296.01 |
| Connecticut | 108 | $92.11 | $122.48 | $122.48 | $200.50 | $300.38 |
| Delaware | 218 | $93.91 | $122.48 | $122.48 | $164.82 | $300.38 |
| District of Columbia | 48 | $104.11 | $122.48 | $122.48 | $200.42 | $287.44 |
| Florida | 540 | $92.11 | $122.48 | $122.48 | $200.50 | $300.38 |
| Georgia | 135 | $86.69 | $122.48 | $122.48 | $200.39 | $296.01 |
| Guam | 1 | $287.44 | $287.44 | $287.44 | $287.44 | $287.44 |
| Hawaii | 26 | $104.11 | $122.48 | $122.48 | $183.13 | $235.87 |
| Idaho | 16 | $104.11 | $122.48 | $122.48 | $190.65 | $287.44 |
| Illinois | 168 | $86.69 | $122.48 | $122.48 | $200.35 | $296.01 |
| Indiana | 49 | $104.11 | $122.48 | $151.37 | $200.50 | $296.01 |
| Iowa | 24 | $104.11 | $122.48 | $202.77 | $287.44 | $296.01 |
| Kansas | 26 | $104.11 | $122.48 | $122.48 | $201.07 | $287.44 |
| Kentucky | 42 | $104.11 | $122.48 | $122.48 | $200.49 | $296.01 |
| Louisiana | 37 | $104.11 | $122.48 | $122.48 | $202.77 | $296.01 |
| Maine | 47 | $93.91 | $122.48 | $180.85 | $207.23 | $296.01 |
| Maryland | 640 | $86.69 | $122.48 | $122.48 | $200.35 | $300.38 |
| Massachusetts | 159 | $86.69 | $122.48 | $122.48 | $200.50 | $296.01 |
| Michigan | 122 | $93.91 | $122.48 | $122.48 | $200.50 | $296.01 |
| Minnesota | 235 | $93.19 | $122.48 | $235.87 | $287.44 | $300.38 |
| Mississippi | 22 | $104.11 | $122.48 | $201.56 | $225.25 | $296.01 |
| Missouri | 58 | $122.48 | $122.48 | $165.81 | $212.85 | $296.01 |
| Montana | 14 | $104.11 | $137.07 | $198.27 | $202.20 | $287.44 |
| Nebraska | 15 | $122.48 | $122.48 | $159.33 | $202.77 | $287.44 |
| Nevada | 42 | $104.11 | $122.48 | $122.48 | $208.71 | $296.01 |
| New Hampshire | 40 | $104.11 | $122.48 | $180.85 | $200.50 | $296.01 |
| New Jersey | 1,123 | $86.69 | $122.48 | $122.48 | $180.85 | $296.01 |
| New Mexico | 24 | $93.19 | $122.48 | $122.48 | $225.25 | $296.01 |
| New York | 710 | $86.69 | $122.48 | $122.48 | $200.35 | $300.38 |
| North Carolina | 219 | $86.69 | $122.48 | $122.48 | $200.35 | $300.38 |
| North Dakota | 7 | $151.37 | $195.61 | $198.27 | $202.77 | $251.61 |
| Ohio | 214 | $86.69 | $122.48 | $122.48 | $200.50 | $300.38 |
| Oklahoma | 26 | $93.19 | $122.48 | $122.48 | $208.71 | $287.44 |
| Oregon | 52 | $104.11 | $122.48 | $122.48 | $225.25 | $296.01 |
| Pennsylvania | 39,722 | $86.69 | $122.48 | $153.73 | $200.50 | $56,711.43 |
| Puerto Rico | 7 | $122.48 | $122.48 | $122.48 | $122.48 | $296.01 |
| Rhode Island | 22 | $86.69 | $122.48 | $122.48 | $200.50 | $296.01 |
| South Carolina | 110 | $93.91 | $122.48 | $122.48 | $200.49 | $300.38 |
| South Dakota | 8 | $122.48 | $180.85 | $200.50 | $205.74 | $240.68 |
| Tennessee | 96 | $86.69 | $122.48 | $122.48 | $202.77 | $300.38 |
| Texas | 323 | $86.69 | $122.48 | $122.48 | $200.35 | $296.01 |
| Utah | 21 | $86.69 | $122.48 | $122.48 | $122.48 | $287.44 |
| Vermont | 10 | $122.48 | $122.48 | $151.67 | $200.50 | $287.44 |
| Virginia | 327 | $92.11 | $122.48 | $137.72 | $202.77 | $300.38 |
| Washington | 87 | $86.69 | $122.48 | $122.48 | $200.50 | $300.38 |
| West Virginia | 84 | $104.11 | $122.48 | $122.48 | $200.35 | $287.44 |
| Wisconsin | 48 | $93.91 | $122.48 | $180.85 | $225.25 | $296.01 |
| Wyoming | 5 | $122.48 | $122.48 | $122.48 | $122.48 | $122.48 |

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