# Specialist consultation (standard): what Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana pays, by state

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

- Insurer: Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana (HCSC)
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-09-12
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 10 | $105.54 | $133.58 | $170.33 | $194.49 | $298.77 |
| Alaska | 2 | $139.07 | $141.02 | $142.97 | $156.65 | $170.33 |
| Arizona | 31 | $105.54 | $162.00 | $170.33 | $244.93 | $406.58 |
| Arkansas | 10 | $136.07 | $165.21 | $191.61 | $235.39 | $298.77 |
| California | 85 | $84.80 | $160.08 | $177.64 | $252.09 | $406.58 |
| Colorado | 21 | $73.69 | $160.78 | $177.64 | $244.54 | $300.74 |
| Connecticut | 11 | $133.58 | $170.33 | $216.30 | $296.46 | $300.01 |
| Delaware | 2 | $136.07 | $156.85 | $177.64 | $196.97 | $216.30 |
| District of Columbia | 5 | $92.65 | $170.33 | $191.61 | $298.77 | $300.74 |
| Florida | 77 | $117.53 | $167.89 | $185.44 | $244.95 | $801.00 |
| Georgia | 28 | $73.69 | $167.89 | $177.64 | $230.63 | $300.74 |
| Guam | 2 | $105.54 | $119.56 | $133.58 | $133.58 | $133.58 |
| Hawaii | 3 | $160.08 | $167.77 | $183.92 | $211.75 | $254.47 |
| Idaho | 4 | $110.29 | $142.07 | $165.21 | $204.81 | $254.47 |
| Illinois | 157 | $88.56 | $263.34 | $324.53 | $647.30 | $1,640.37 |
| Indiana | 11 | $105.54 | $162.64 | $191.61 | $296.46 | $300.74 |
| Iowa | 9 | $105.54 | $133.58 | $136.07 | $216.30 | $296.46 |
| Kansas | 10 | $117.53 | $142.00 | $176.07 | $202.21 | $406.58 |
| Kentucky | 10 | $105.54 | $160.08 | $181.54 | $254.47 | $298.77 |
| Louisiana | 29 | $105.54 | $136.07 | $170.33 | $216.30 | $406.58 |
| Maine | 5 | $133.58 | $167.89 | $170.33 | $216.30 | $300.74 |
| Maryland | 27 | $110.29 | $160.08 | $191.61 | $254.47 | $300.74 |
| Massachusetts | 32 | $88.56 | $170.33 | $191.61 | $296.46 | $406.58 |
| Michigan | 22 | $73.69 | $157.60 | $185.44 | $254.47 | $300.74 |
| Minnesota | 22 | $133.58 | $159.25 | $185.44 | $244.95 | $300.74 |
| Mississippi | 10 | $105.54 | $142.90 | $170.33 | $211.57 | $254.47 |
| Missouri | 34 | $133.58 | $170.33 | $191.61 | $298.77 | $300.74 |
| Montana | 2 | $160.08 | $167.29 | $174.50 | $214.49 | $254.47 |
| Nebraska | 3 | $138.28 | $172.16 | $184.63 | $195.93 | $298.77 |
| Nevada | 8 | $139.07 | $142.97 | $167.89 | $197.51 | $300.01 |
| New Hampshire | 3 | $105.54 | $133.58 | $136.07 | $167.89 | $216.30 |
| New Jersey | 14 | $117.53 | $169.69 | $188.53 | $264.97 | $300.74 |
| New Mexico | 12 | $133.58 | $141.02 | $167.89 | $169.11 | $244.95 |
| New York | 60 | $88.56 | $169.11 | $185.44 | $254.47 | $300.74 |
| North Carolina | 20 | $105.54 | $136.07 | $170.33 | $216.30 | $300.74 |
| Ohio | 49 | $88.56 | $170.33 | $191.61 | $296.46 | $300.74 |
| Oklahoma | 71 | $105.54 | $167.89 | $174.50 | $191.61 | $300.74 |
| Oregon | 8 | $118.21 | $151.98 | $170.33 | $200.87 | $296.46 |
| Pennsylvania | 50 | $89.71 | $170.33 | $191.61 | $296.46 | $406.58 |
| Rhode Island | 2 | $105.54 | $126.57 | $146.83 | $183.68 | $254.47 |
| South Carolina | 12 | $131.55 | $170.33 | $197.51 | $256.38 | $300.74 |
| South Dakota | 1 | $105.54 | $112.55 | $119.56 | $126.57 | $133.58 |
| Tennessee | 30 | $105.54 | $170.33 | $185.44 | $254.47 | $300.74 |
| Texas | 9,832 | $37.64 | $140.13 | $177.64 | $254.47 | $41,000.00 |
| Utah | 2 | $157.62 | $170.33 | $191.61 | $216.30 | $298.77 |
| Virginia | 16 | $88.56 | $167.89 | $185.44 | $243.07 | $300.01 |
| Washington | 27 | $105.54 | $160.08 | $170.33 | $211.57 | $406.58 |
| West Virginia | 2 | $170.33 | $170.33 | $170.33 | $170.33 | $170.33 |
| Wisconsin | 18 | $136.07 | $155.80 | $181.54 | $216.30 | $406.58 |
| Wyoming | 1 | $167.89 | $167.89 | $167.89 | $167.89 | $167.89 |

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