# Specialist consultation (standard): what Horizon Blue Cross Blue Shield of New Jersey pays, by state

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

- Insurer: Horizon Blue Cross Blue Shield of New Jersey
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-09-11
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 73 | $106.23 | $124.74 | $169.28 | $192.98 | $424.12 |
| Alaska | 12 | $124.74 | $124.74 | $150.90 | $212.59 | $393.94 |
| Arizona | 187 | $102.99 | $124.74 | $167.76 | $192.98 | $424.12 |
| Arkansas | 65 | $106.23 | $124.74 | $141.64 | $223.71 | $424.12 |
| California | 1,012 | $102.99 | $124.74 | $173.88 | $235.67 | $735.32 |
| Colorado | 221 | $102.99 | $124.74 | $141.64 | $192.98 | $424.12 |
| Connecticut | 404 | $102.99 | $141.64 | $177.05 | $241.36 | $735.32 |
| Delaware | 992 | $102.99 | $178.22 | $235.67 | $235.67 | $414.35 |
| District of Columbia | 93 | $102.99 | $138.60 | $178.22 | $241.36 | $424.12 |
| Florida | 1,327 | $102.99 | $124.74 | $168.92 | $192.98 | $735.32 |
| Georgia | 285 | $106.23 | $124.74 | $177.05 | $196.28 | $735.32 |
| Guam | 2 | $120.86 | $234.82 | $246.07 | $283.52 | $381.75 |
| Hawaii | 39 | $106.23 | $124.74 | $177.41 | $310.79 | $424.12 |
| Idaho | 24 | $120.00 | $124.74 | $124.74 | $173.88 | $264.54 |
| Illinois | 410 | $102.99 | $124.74 | $177.05 | $235.67 | $424.12 |
| Indiana | 137 | $106.23 | $124.74 | $177.05 | $250.77 | $424.12 |
| Iowa | 48 | $120.86 | $124.74 | $180.86 | $235.67 | $424.12 |
| Kansas | 40 | $102.99 | $124.74 | $124.74 | $177.05 | $287.77 |
| Kentucky | 88 | $106.23 | $124.74 | $177.05 | $238.28 | $414.35 |
| Louisiana | 88 | $106.23 | $124.74 | $168.92 | $192.98 | $421.63 |
| Maine | 53 | $106.23 | $140.88 | $168.92 | $200.75 | $414.35 |
| Maryland | 419 | $102.99 | $124.74 | $177.05 | $235.67 | $735.32 |
| Massachusetts | 439 | $102.99 | $124.74 | $177.05 | $235.67 | $424.12 |
| Michigan | 265 | $102.99 | $124.74 | $173.80 | $235.67 | $424.12 |
| Minnesota | 349 | $106.23 | $167.76 | $178.22 | $212.59 | $424.12 |
| Mississippi | 32 | $106.23 | $124.74 | $188.82 | $258.58 | $414.35 |
| Missouri | 137 | $106.23 | $124.74 | $178.22 | $222.21 | $735.32 |
| Montana | 20 | $120.00 | $124.74 | $173.88 | $202.79 | $414.35 |
| Nebraska | 33 | $124.74 | $124.74 | $167.91 | $212.59 | $312.43 |
| Nevada | 75 | $117.81 | $124.74 | $167.76 | $193.52 | $424.12 |
| New Hampshire | 90 | $106.23 | $124.74 | $171.40 | $205.90 | $735.32 |
| New Jersey | 57,441 | $102.73 | $124.74 | $177.05 | $240.92 | $735.32 |
| New Mexico | 42 | $106.23 | $124.74 | $173.88 | $183.49 | $421.63 |
| New York | 11,857 | $102.99 | $158.72 | $183.49 | $183.49 | $735.32 |
| North Carolina | 357 | $102.99 | $124.74 | $177.05 | $211.97 | $424.12 |
| North Dakota | 15 | $120.86 | $133.19 | $173.88 | $178.22 | $393.94 |
| Ohio | 330 | $102.99 | $124.74 | $181.57 | $241.36 | $424.12 |
| Oklahoma | 66 | $106.23 | $124.74 | $177.05 | $317.53 | $424.12 |
| Oregon | 62 | $106.23 | $124.74 | $183.49 | $258.58 | $424.12 |
| Pennsylvania | 13,665 | $102.99 | $168.92 | $177.05 | $240.92 | $735.32 |
| Puerto Rico | 13 | $124.74 | $161.60 | $246.07 | $311.76 | $381.75 |
| Rhode Island | 66 | $106.23 | $173.88 | $183.49 | $341.46 | $424.12 |
| South Carolina | 163 | $102.99 | $124.74 | $177.05 | $212.59 | $424.12 |
| South Dakota | 10 | $106.23 | $113.51 | $124.74 | $178.92 | $301.86 |
| Tennessee | 187 | $106.23 | $124.74 | $177.05 | $192.98 | $414.35 |
| Texas | 712 | $102.99 | $124.74 | $177.05 | $192.98 | $735.32 |
| U.S. Virgin Islands | 2 | $124.74 | $124.74 | $124.74 | $124.74 | $124.74 |
| Utah | 66 | $106.23 | $124.74 | $143.08 | $217.74 | $424.12 |
| Vermont | 26 | $106.23 | $124.74 | $185.97 | $248.74 | $381.75 |
| Virginia | 319 | $102.99 | $124.74 | $177.05 | $241.36 | $735.32 |
| Washington | 168 | $106.23 | $124.74 | $177.05 | $241.36 | $424.12 |
| West Virginia | 33 | $117.81 | $168.92 | $192.98 | $250.77 | $393.94 |
| Wisconsin | 119 | $106.23 | $124.74 | $168.15 | $201.93 | $424.12 |
| Wyoming | 4 | $124.74 | $124.74 | $141.64 | $177.05 | $177.05 |

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