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

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

- Insurer: Kaiser Permanente
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's and facility fees
- 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 | 891 | $65.00 | $89.48 | $128.25 | $198.94 | $620.64 |
| Alaska | 475 | $65.00 | $128.25 | $163.88 | $221.88 | $620.64 |
| American Samoa | 1 | $89.78 | $108.48 | $121.48 | $137.16 | $163.88 |
| Arizona | 2,259 | $60.00 | $115.60 | $163.88 | $215.68 | $826.00 |
| Arkansas | 446 | $60.00 | $89.78 | $128.25 | $186.00 | $602.21 |
| California | 51,360 | $37.50 | $140.00 | $245.00 | $290.00 | $16,667.00 |
| Colorado | 32,251 | $55.00 | $115.60 | $161.84 | $197.11 | $826.00 |
| Connecticut | 4,874 | $65.00 | $75.00 | $75.00 | $113.00 | $602.21 |
| Delaware | 386 | $65.00 | $106.16 | $128.25 | $186.00 | $602.21 |
| District of Columbia | 3,654 | $51.62 | $124.90 | $188.32 | $203.60 | $620.64 |
| Florida | 6,595 | $55.00 | $89.78 | $128.25 | $186.00 | $826.00 |
| Georgia | 15,333 | $37.50 | $128.25 | $175.95 | $290.02 | $620.64 |
| Guam | 14 | $85.00 | $186.00 | $225.52 | $280.05 | $377.03 |
| Hawaii | 3,013 | $65.00 | $186.00 | $186.00 | $186.00 | $670.00 |
| Idaho | 8,062 | $60.00 | $163.88 | $184.32 | $204.55 | $620.64 |
| Illinois | 3,943 | $60.00 | $79.80 | $140.00 | $220.08 | $620.64 |
| Indiana | 1,803 | $60.00 | $89.78 | $128.25 | $175.95 | $826.00 |
| Iowa | 741 | $60.00 | $109.82 | $160.86 | $206.63 | $620.64 |
| Kansas | 1,128 | $60.00 | $65.00 | $114.71 | $186.00 | $826.00 |
| Kentucky | 1,647 | $55.00 | $65.00 | $114.71 | $163.88 | $826.00 |
| Louisiana | 1,064 | $37.50 | $88.00 | $128.25 | $182.07 | $620.64 |
| Maine | 473 | $65.00 | $65.00 | $128.25 | $189.26 | $463.92 |
| Maryland | 21,702 | $51.62 | $114.71 | $148.63 | $182.12 | $620.64 |
| Massachusetts | 5,111 | $60.00 | $66.95 | $92.70 | $163.88 | $826.00 |
| Michigan | 4,169 | $60.00 | $60.00 | $114.71 | $189.26 | $826.00 |
| Minnesota | 1,879 | $60.00 | $128.25 | $163.88 | $209.49 | $620.64 |
| Mississippi | 320 | $60.00 | $90.00 | $128.25 | $175.95 | $377.03 |
| Missouri | 2,248 | $55.00 | $89.78 | $128.25 | $179.90 | $620.64 |
| Montana | 4,860 | $65.00 | $126.49 | $148.82 | $189.26 | $620.64 |
| Nebraska | 628 | $65.00 | $114.71 | $135.34 | $170.14 | $620.64 |
| Nevada | 1,398 | $60.00 | $90.00 | $152.85 | $208.79 | $826.00 |
| New Hampshire | 1,381 | $65.00 | $65.00 | $65.00 | $128.25 | $620.64 |
| New Jersey | 3,062 | $37.50 | $72.00 | $89.00 | $163.88 | $602.21 |
| New Mexico | 792 | $37.50 | $114.71 | $163.88 | $221.88 | $826.00 |
| New York | 9,003 | $27.00 | $67.00 | $104.00 | $186.00 | $826.00 |
| North Carolina | 2,678 | $51.62 | $109.91 | $146.84 | $219.30 | $620.64 |
| North Dakota | 274 | $65.00 | $128.25 | $163.88 | $189.26 | $462.47 |
| Northern Mariana Islands | 3 | $126.49 | $173.43 | $186.00 | $192.52 | $262.55 |
| Ohio | 4,357 | $55.00 | $89.78 | $128.25 | $163.88 | $620.64 |
| Oklahoma | 737 | $60.00 | $96.74 | $150.28 | $221.88 | $826.00 |
| Oregon | 26,397 | $60.00 | $184.96 | $249.84 | $288.86 | $826.00 |
| Pennsylvania | 4,295 | $55.00 | $95.00 | $140.40 | $214.01 | $826.00 |
| Puerto Rico | 62 | $66.95 | $128.25 | $163.88 | $245.00 | $377.03 |
| Rhode Island | 377 | $65.00 | $70.80 | $136.37 | $222.27 | $602.21 |
| South Carolina | 1,020 | $51.62 | $112.41 | $145.74 | $203.58 | $602.21 |
| South Dakota | 757 | $65.00 | $133.94 | $148.82 | $187.94 | $620.64 |
| Tennessee | 1,584 | $55.00 | $99.00 | $148.54 | $215.51 | $620.64 |
| Texas | 8,570 | $51.62 | $89.78 | $128.25 | $167.66 | $826.00 |
| U.S. Virgin Islands | 7 | $89.78 | $112.41 | $117.34 | $131.56 | $163.88 |
| Utah | 5,951 | $55.00 | $162.28 | $164.15 | $204.61 | $826.00 |
| Vermont | 349 | $37.50 | $65.00 | $114.71 | $185.22 | $826.00 |
| Virginia | 12,649 | $47.70 | $109.91 | $124.90 | $149.88 | $630.00 |
| Washington | 49,939 | $37.50 | $128.25 | $174.17 | $237.08 | $826.00 |
| West Virginia | 384 | $49.75 | $93.68 | $137.39 | $199.28 | $463.92 |
| Wisconsin | 1,733 | $55.00 | $65.00 | $143.23 | $207.62 | $620.64 |
| Wyoming | 912 | $65.00 | $128.25 | $152.97 | $189.26 | $377.03 |

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