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

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

- Insurer: HAP (Health Alliance Plan)
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-10-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 25 | $119.71 | $130.91 | $159.83 | $183.75 | $215.05 |
| Alaska | 6 | $119.71 | $144.16 | $152.00 | $159.45 | $183.75 |
| Arizona | 96 | $101.75 | $120.03 | $144.16 | $165.86 | $240.28 |
| Arkansas | 11 | $119.71 | $119.71 | $138.16 | $152.00 | $168.19 |
| California | 189 | $96.11 | $119.71 | $144.16 | $164.77 | $240.28 |
| Colorado | 73 | $113.27 | $119.71 | $152.00 | $169.12 | $240.28 |
| Connecticut | 26 | $113.27 | $131.28 | $155.62 | $168.03 | $240.28 |
| Delaware | 5 | $119.71 | $119.71 | $119.71 | $156.37 | $183.75 |
| District of Columbia | 10 | $119.71 | $119.71 | $155.92 | $172.78 | $186.93 |
| Florida | 340 | $96.11 | $128.55 | $152.00 | $163.56 | $240.28 |
| Georgia | 88 | $119.71 | $119.71 | $152.00 | $159.45 | $221.52 |
| Guam | 1 | $139.33 | $139.33 | $139.33 | $139.33 | $139.33 |
| Hawaii | 10 | $119.71 | $121.92 | $144.85 | $166.80 | $215.05 |
| Idaho | 12 | $119.71 | $119.71 | $138.16 | $166.95 | $190.67 |
| Illinois | 185 | $101.75 | $119.71 | $149.63 | $159.83 | $240.28 |
| Indiana | 249 | $98.80 | $126.14 | $146.59 | $157.41 | $240.28 |
| Iowa | 27 | $119.71 | $131.68 | $152.00 | $164.77 | $221.52 |
| Kansas | 6 | $119.71 | $143.61 | $151.74 | $152.00 | $183.75 |
| Kentucky | 34 | $119.71 | $119.71 | $157.41 | $169.12 | $215.05 |
| Louisiana | 19 | $119.71 | $119.71 | $143.61 | $155.62 | $197.39 |
| Maine | 14 | $119.71 | $119.71 | $144.16 | $152.00 | $197.39 |
| Maryland | 43 | $119.71 | $119.71 | $152.00 | $164.77 | $186.93 |
| Massachusetts | 46 | $119.71 | $119.71 | $146.59 | $159.83 | $215.05 |
| Michigan | 33,199 | $83.79 | $119.71 | $149.63 | $163.39 | $442.75 |
| Minnesota | 86 | $119.71 | $121.35 | $152.00 | $169.12 | $240.28 |
| Mississippi | 10 | $119.71 | $126.14 | $152.00 | $163.56 | $240.28 |
| Missouri | 39 | $119.71 | $134.72 | $152.00 | $169.12 | $240.28 |
| Montana | 12 | $119.71 | $137.66 | $144.16 | $152.00 | $240.28 |
| Nebraska | 8 | $119.71 | $128.55 | $144.16 | $144.16 | $163.39 |
| Nevada | 22 | $119.71 | $124.39 | $147.95 | $161.89 | $173.98 |
| New Hampshire | 6 | $119.71 | $138.16 | $144.16 | $152.00 | $240.28 |
| New Jersey | 30 | $119.71 | $125.59 | $154.78 | $159.83 | $240.28 |
| New Mexico | 13 | $119.71 | $130.91 | $143.61 | $157.70 | $183.75 |
| New York | 103 | $119.71 | $125.51 | $152.00 | $163.56 | $240.28 |
| North Carolina | 77 | $102.11 | $124.49 | $146.59 | $159.83 | $197.39 |
| North Dakota | 12 | $119.71 | $127.54 | $146.59 | $163.78 | $197.39 |
| Ohio | 1,309 | $83.79 | $119.71 | $163.18 | $173.98 | $240.28 |
| Oklahoma | 18 | $119.71 | $119.71 | $139.46 | $163.56 | $197.39 |
| Oregon | 30 | $119.71 | $138.16 | $152.00 | $163.39 | $197.39 |
| Pennsylvania | 110 | $119.71 | $124.60 | $152.00 | $163.39 | $240.28 |
| Puerto Rico | 1 | $152.00 | $152.00 | $152.00 | $152.00 | $152.00 |
| Rhode Island | 9 | $101.75 | $119.71 | $144.19 | $170.31 | $240.28 |
| South Carolina | 43 | $119.71 | $119.71 | $152.00 | $169.12 | $240.28 |
| South Dakota | 5 | $119.71 | $119.82 | $124.35 | $140.26 | $173.98 |
| Tennessee | 64 | $119.71 | $119.82 | $146.76 | $159.83 | $240.28 |
| Texas | 157 | $101.75 | $128.55 | $152.00 | $169.12 | $215.05 |
| Utah | 8 | $119.71 | $128.55 | $145.73 | $169.12 | $183.75 |
| Vermont | 4 | $119.71 | $119.71 | $124.13 | $137.61 | $164.77 |
| Virginia | 67 | $119.71 | $128.55 | $152.00 | $168.03 | $240.28 |
| Washington | 52 | $119.71 | $120.14 | $152.00 | $169.12 | $240.28 |
| West Virginia | 13 | $119.71 | $128.55 | $155.92 | $172.78 | $186.93 |
| Wisconsin | 88 | $119.71 | $119.71 | $152.00 | $164.77 | $240.28 |
| Wyoming | 2 | $152.00 | $157.50 | $162.99 | $168.49 | $173.98 |

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