# Specialist consultation (extended): what Centene pays, by state

A specialist's opinion visit, requested by another doctor, about 60 minutes.

- Insurer: Centene (Ambetter, Health Net, Fidelis, QualChoice)
- Billing code: 99244 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-08-31
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 734 | $45.00 | $157.10 | $188.01 | $233.75 | $855.21 |
| Alaska | 84 | $133.54 | $157.10 | $186.41 | $214.57 | $855.21 |
| Arizona | 888 | $85.50 | $157.10 | $191.55 | $227.06 | $855.21 |
| Arkansas | 11,025 | $85.50 | $173.59 | $173.59 | $199.63 | $855.21 |
| California | 5,915 | $45.00 | $169.94 | $169.94 | $196.38 | $855.21 |
| Colorado | 798 | $45.00 | $157.10 | $191.55 | $214.61 | $855.21 |
| Connecticut | 258 | $120.80 | $173.20 | $204.66 | $252.43 | $855.21 |
| Delaware | 4,158 | $85.50 | $160.08 | $204.10 | $240.12 | $855.21 |
| District of Columbia | 179 | $85.50 | $175.61 | $204.10 | $240.78 | $855.21 |
| Florida | 11,132 | $45.00 | $194.18 | $239.44 | $281.70 | $855.21 |
| Georgia | 17,202 | $85.50 | $191.55 | $296.43 | $312.57 | $855.21 |
| Guam | 6 | $152.59 | $159.82 | $191.70 | $217.83 | $337.40 |
| Hawaii | 136 | $45.00 | $157.10 | $196.38 | $252.43 | $366.33 |
| Idaho | 195 | $45.00 | $157.10 | $205.08 | $296.43 | $366.33 |
| Illinois | 4,375 | $45.00 | $208.14 | $286.79 | $337.40 | $855.21 |
| Indiana | 12,772 | $85.50 | $153.29 | $203.88 | $214.61 | $855.21 |
| Iowa | 203 | $85.50 | $157.10 | $191.55 | $214.61 | $855.21 |
| Kansas | 5,695 | $85.50 | $151.89 | $151.89 | $157.10 | $855.21 |
| Kentucky | 17,031 | $85.50 | $153.24 | $191.55 | $194.18 | $855.21 |
| Louisiana | 715 | $85.50 | $157.10 | $188.01 | $210.57 | $855.21 |
| Maine | 147 | $45.00 | $157.10 | $193.35 | $227.47 | $457.44 |
| Maryland | 855 | $85.50 | $160.08 | $204.10 | $240.12 | $855.21 |
| Massachusetts | 522 | $45.00 | $163.39 | $202.72 | $240.78 | $855.21 |
| Michigan | 6,230 | $45.00 | $179.52 | $211.38 | $234.05 | $855.21 |
| Minnesota | 670 | $97.41 | $157.10 | $193.63 | $247.35 | $855.21 |
| Mississippi | 8,127 | $85.50 | $188.01 | $188.01 | $188.01 | $480.00 |
| Missouri | 1,496 | $45.00 | $155.01 | $186.41 | $205.50 | $855.21 |
| Montana | 112 | $45.00 | $157.85 | $194.18 | $248.17 | $366.33 |
| Nebraska | 169 | $45.00 | $153.24 | $173.59 | $208.14 | $855.21 |
| Nevada | 7,131 | $45.00 | $160.11 | $208.14 | $248.17 | $855.21 |
| New Hampshire | 125 | $126.00 | $160.10 | $199.63 | $233.01 | $855.21 |
| New Jersey | 545 | $85.50 | $160.11 | $203.88 | $240.12 | $855.21 |
| New Mexico | 341 | $85.50 | $157.10 | $164.96 | $203.88 | $855.21 |
| New York | 1,299 | $45.00 | $160.08 | $194.18 | $233.01 | $855.21 |
| North Carolina | 11,881 | $85.50 | $214.57 | $252.43 | $322.35 | $855.21 |
| North Dakota | 81 | $85.50 | $157.10 | $191.55 | $214.61 | $366.33 |
| Northern Mariana Islands | 1 | $173.59 | $173.59 | $173.59 | $173.59 | $173.59 |
| Ohio | 35,209 | $85.50 | $186.41 | $194.18 | $204.66 | $855.21 |
| Oklahoma | 1,536 | $85.50 | $172.81 | $183.26 | $198.54 | $855.21 |
| Oregon | 535 | $45.00 | $175.84 | $217.48 | $328.54 | $855.21 |
| Pennsylvania | 2,143 | $45.00 | $186.41 | $204.10 | $240.12 | $855.21 |
| Puerto Rico | 63 | $94.50 | $172.36 | $204.66 | $242.93 | $855.21 |
| Rhode Island | 71 | $85.50 | $161.79 | $203.99 | $246.57 | $855.21 |
| South Carolina | 1,213 | $45.00 | $200.14 | $240.78 | $296.43 | $855.21 |
| South Dakota | 54 | $85.50 | $157.10 | $191.55 | $217.48 | $457.44 |
| Tennessee | 2,442 | $45.00 | $157.10 | $178.40 | $199.63 | $855.21 |
| Texas | 54,445 | $45.00 | $157.10 | $157.10 | $179.52 | $855.21 |
| U.S. Virgin Islands | 7 | $157.10 | $173.59 | $199.63 | $240.11 | $312.57 |
| Utah | 296 | $85.50 | $160.11 | $196.38 | $240.16 | $855.21 |
| Vermont | 38 | $126.00 | $177.52 | $194.18 | $227.47 | $855.21 |
| Virginia | 991 | $45.00 | $163.39 | $196.38 | $233.75 | $855.21 |
| Washington | 7,158 | $45.00 | $258.31 | $303.90 | $328.54 | $855.21 |
| West Virginia | 2,416 | $85.50 | $217.48 | $233.01 | $233.01 | $480.00 |
| Wisconsin | 558 | $45.00 | $164.96 | $199.63 | $248.50 | $855.21 |
| Wyoming | 61 | $121.00 | $157.10 | $194.18 | $248.17 | $480.00 |

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/centene/statemap_99244_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)