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

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

- Insurer: Cigna Healthcare (incl. HealthPartners, Priority Health, Sagamore)
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-09-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 21,157 | $34.00 | $101.49 | $101.95 | $147.18 | $844.72 |
| Alaska | 956 | $40.00 | $129.46 | $203.78 | $305.27 | $845.94 |
| American Samoa | 2 | $148.01 | $175.27 | $202.53 | $229.79 | $257.05 |
| Arizona | 30,374 | $1.17 | $90.58 | $119.11 | $166.74 | $845.94 |
| Arkansas | 14,652 | $35.00 | $109.73 | $115.93 | $151.39 | $844.72 |
| California | 109,257 | $12.27 | $126.18 | $182.93 | $336.46 | $845.94 |
| Colorado | 30,960 | $34.00 | $131.89 | $165.49 | $203.03 | $844.72 |
| Connecticut | 26,464 | $41.58 | $143.83 | $160.47 | $198.16 | $876.18 |
| Delaware | 6,103 | $41.58 | $109.28 | $124.87 | $180.28 | $844.72 |
| District of Columbia | 5,900 | $41.58 | $132.97 | $205.51 | $262.48 | $844.72 |
| Florida | 103,463 | $11.29 | $87.89 | $132.20 | $187.46 | $952.22 |
| Georgia | 37,900 | $34.00 | $125.58 | $182.93 | $259.96 | $845.94 |
| Guam | 46 | $56.00 | $139.84 | $184.05 | $259.96 | $410.60 |
| Hawaii | 1,225 | $34.00 | $112.75 | $163.20 | $267.01 | $845.94 |
| Idaho | 10,549 | $40.00 | $134.95 | $168.68 | $191.17 | $844.72 |
| Illinois | 55,260 | $34.00 | $129.66 | $153.38 | $184.05 | $845.94 |
| Indiana | 29,865 | $11.72 | $118.62 | $135.45 | $165.49 | $844.72 |
| Iowa | 9,404 | $34.00 | $196.44 | $224.35 | $254.35 | $844.72 |
| Kansas | 14,142 | $40.00 | $125.96 | $177.00 | $177.00 | $634.14 |
| Kentucky | 25,179 | $25.27 | $105.88 | $161.47 | $251.15 | $844.72 |
| Louisiana | 22,232 | $35.00 | $92.24 | $110.79 | $155.46 | $844.72 |
| Maine | 9,523 | $35.00 | $117.36 | $155.80 | $217.23 | $844.72 |
| Maryland | 33,088 | $12.27 | $109.27 | $154.57 | $204.50 | $952.22 |
| Massachusetts | 45,502 | $35.00 | $129.12 | $232.71 | $335.01 | $844.72 |
| Michigan | 11,973 | $34.00 | $55.00 | $120.85 | $167.31 | $844.72 |
| Minnesota | 3,514 | $34.00 | $123.06 | $159.47 | $209.41 | $845.94 |
| Mississippi | 12,984 | $34.00 | $97.75 | $117.94 | $141.00 | $844.72 |
| Missouri | 30,160 | $35.00 | $110.83 | $155.91 | $216.54 | $844.72 |
| Montana | 9,802 | $40.00 | $115.17 | $150.61 | $177.19 | $565.77 |
| Nebraska | 6,372 | $40.00 | $177.00 | $222.88 | $276.29 | $844.72 |
| Nevada | 11,072 | $33.00 | $99.29 | $125.58 | $172.22 | $844.72 |
| New Hampshire | 9,227 | $34.00 | $138.06 | $233.80 | $306.56 | $844.72 |
| New Jersey | 43,930 | $34.00 | $91.73 | $163.11 | $222.05 | $952.22 |
| New Mexico | 8,961 | $35.00 | $117.30 | $162.51 | $210.94 | $876.18 |
| New York | 89,642 | $12.27 | $108.35 | $166.10 | $266.92 | $952.22 |
| North Carolina | 57,797 | $34.00 | $128.77 | $182.38 | $241.62 | $845.94 |
| North Dakota | 509 | $35.00 | $118.40 | $157.16 | $211.31 | $666.37 |
| Northern Mariana Islands | 5 | $105.45 | $120.99 | $157.86 | $171.22 | $209.62 |
| Ohio | 64,738 | $27.00 | $112.85 | $140.85 | $222.37 | $844.72 |
| Oklahoma | 16,522 | $35.00 | $106.30 | $113.80 | $157.02 | $844.72 |
| Oregon | 21,614 | $34.00 | $165.27 | $238.86 | $313.20 | $844.72 |
| Pennsylvania | 80,829 | $34.00 | $122.69 | $148.54 | $196.34 | $876.18 |
| Puerto Rico | 350 | $27.00 | $123.13 | $167.31 | $261.15 | $634.14 |
| Rhode Island | 7,788 | $34.00 | $113.57 | $129.12 | $257.25 | $844.72 |
| South Carolina | 23,621 | $34.00 | $117.92 | $139.05 | $182.38 | $844.72 |
| South Dakota | 941 | $40.00 | $50.00 | $127.91 | $177.23 | $658.76 |
| Tennessee | 37,169 | $34.00 | $107.16 | $152.95 | $196.31 | $844.72 |
| Texas | 109,421 | $12.27 | $100.69 | $129.00 | $174.87 | $885.18 |
| U.S. Virgin Islands | 361 | $27.00 | $159.05 | $159.05 | $159.05 | $475.89 |
| Utah | 15,650 | $34.00 | $134.95 | $145.65 | $178.98 | $845.94 |
| Vermont | 4,866 | $45.00 | $116.24 | $130.01 | $202.23 | $686.41 |
| Virginia | 43,224 | $25.27 | $109.89 | $148.81 | $189.94 | $844.72 |
| Washington | 40,622 | $11.72 | $126.82 | $203.93 | $262.87 | $845.94 |
| West Virginia | 9,761 | $34.00 | $109.89 | $158.89 | $260.46 | $706.23 |
| Wisconsin | 17,731 | $33.00 | $125.64 | $183.23 | $415.76 | $844.72 |
| Wyoming | 2,386 | $40.00 | $126.83 | $164.88 | $183.90 | $623.94 |

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