Specialist consultation (extended)

A specialist's opinion visit, requested by another doctor, about 60 minutes.
Code 99244 · Office visits · statewide summary · negotiated in-network prices
Payers shown: Highmark Blue Cross Blue Shield (Pennsylvania, Delaware, West Virginia, New York)
Prices shown: every in-person setting
Doctor’s fee or facility fee? These are facility fees: what the insurer pays the hospital or surgery center itself. The doctors who treat you bill separately, on top of it.
Who is counted: Highmark Blue Cross Blue Shield lists clinicians individually: 98% of the 118,859 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs.
Not on this map: Care outside its home state: Blue Cross Blue Shield plans share one national network, BlueCard, for members treated in other states. Those prices are published centrally, not by Highmark Blue Cross Blue Shield, so they are not included here.
StateProvidersOrganisationsZip codes Lowest25th pctMedian75th pctHighest
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.