# Specialist consultation (standard): what Mass General Brigham Health Plan pays, by state

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

- Insurer: Mass General Brigham Health Plan
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's and facility fees
- Prices as of: 2026-08-27
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Arizona | 1 | $258.71 | $258.71 | $258.71 | $258.71 | $258.71 |
| California | 7 | $95.54 | $106.29 | $124.08 | $186.12 | $258.71 |
| Connecticut | 12 | $95.54 | $106.29 | $148.59 | $186.12 | $250.28 |
| Delaware | 1 | $106.29 | $126.25 | $146.21 | $166.16 | $186.12 |
| Florida | 7 | $72.51 | $95.54 | $106.29 | $130.28 | $186.12 |
| Idaho | 1 | $294.21 | $294.21 | $294.21 | $294.21 | $294.21 |
| Indiana | 1 | $124.08 | $125.63 | $127.18 | $128.73 | $130.28 |
| Kansas | 1 | $106.29 | $126.25 | $146.21 | $166.16 | $186.12 |
| Maine | 1 | $106.29 | $118.49 | $130.70 | $142.90 | $155.10 |
| Maryland | 4 | $106.29 | $110.74 | $124.08 | $170.61 | $186.12 |
| Massachusetts | 3,641 | $43.00 | $106.29 | $148.59 | $294.21 | $612.59 |
| Missouri | 1 | $106.29 | $126.25 | $146.21 | $166.16 | $186.12 |
| New Hampshire | 182 | $72.51 | $106.29 | $155.10 | $209.12 | $354.87 |
| New Jersey | 2 | $95.54 | $95.62 | $95.70 | $95.78 | $95.86 |
| New York | 5 | $72.51 | $96.74 | $106.29 | $121.90 | $186.12 |
| North Carolina | 2 | $124.08 | $157.74 | $191.40 | $225.05 | $258.71 |
| Ohio | 2 | $98.61 | $111.35 | $124.08 | $173.73 | $223.37 |
| Pennsylvania | 1 | $106.29 | $118.49 | $130.70 | $142.90 | $155.10 |
| Rhode Island | 80 | $105.47 | $106.29 | $148.59 | $155.10 | $350.28 |
| South Dakota | 1 | $106.29 | $126.25 | $146.21 | $166.16 | $186.12 |
| Tennessee | 2 | $124.08 | $124.08 | $124.08 | $127.18 | $130.28 |
| Texas | 4 | $94.17 | $120.14 | $124.08 | $141.81 | $148.59 |
| Utah | 2 | $72.51 | $75.23 | $85.84 | $96.74 | $100.32 |
| Vermont | 2 | $106.29 | $139.83 | $168.57 | $205.24 | $262.60 |
| Virginia | 2 | $106.29 | $132.70 | $145.05 | $153.32 | $167.51 |

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