# Specialist consultation (standard): what Moda Health pays, by state

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

- Insurer: Moda Health
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- 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 | 140 | $89.78 | $114.71 | $163.88 | $202.02 | $59,999.40 |
| Alaska | 2,505 | $89.78 | $225.12 | $309.90 | $362.44 | $59,999.40 |
| American Samoa | 1 | $89.78 | $108.48 | $121.48 | $137.16 | $163.88 |
| Arizona | 813 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Arkansas | 107 | $89.78 | $114.71 | $146.90 | $172.22 | $59,999.40 |
| California | 1,416 | $89.78 | $132.82 | $197.25 | $253.50 | $59,999.40 |
| Colorado | 3,999 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Connecticut | 115 | $89.78 | $114.71 | $163.88 | $202.02 | $540.53 |
| Delaware | 31 | $89.78 | $114.71 | $128.25 | $163.88 | $376.29 |
| District of Columbia | 95 | $89.78 | $114.71 | $128.25 | $163.88 | $540.53 |
| Florida | 1,448 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Georgia | 1,341 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Guam | 3 | $307.58 | $340.83 | $374.07 | $439.28 | $504.49 |
| Hawaii | 98 | $89.78 | $128.25 | $163.88 | $234.11 | $59,999.40 |
| Idaho | 7,838 | $89.78 | $191.40 | $202.02 | $202.02 | $59,999.40 |
| Illinois | 369 | $89.78 | $114.71 | $163.88 | $197.25 | $59,999.40 |
| Indiana | 547 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Iowa | 85 | $89.78 | $128.25 | $184.32 | $225.28 | $924.43 |
| Kansas | 111 | $89.78 | $114.71 | $163.21 | $196.98 | $782.21 |
| Kentucky | 355 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Louisiana | 207 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Maine | 57 | $89.78 | $128.25 | $163.88 | $225.12 | $782.21 |
| Maryland | 613 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Massachusetts | 512 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Michigan | 311 | $89.78 | $128.25 | $172.05 | $237.08 | $59,999.40 |
| Minnesota | 578 | $89.78 | $128.25 | $163.88 | $200.10 | $59,999.40 |
| Mississippi | 75 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Missouri | 576 | $89.78 | $114.71 | $128.25 | $163.88 | $782.21 |
| Montana | 218 | $89.29 | $128.25 | $163.88 | $213.86 | $59,999.40 |
| Nebraska | 117 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Nevada | 320 | $89.78 | $114.71 | $163.88 | $202.02 | $59,999.40 |
| New Hampshire | 68 | $89.78 | $114.71 | $163.88 | $202.32 | $59,999.40 |
| New Jersey | 116 | $89.78 | $114.71 | $157.99 | $189.26 | $540.53 |
| New Mexico | 219 | $89.78 | $114.71 | $128.25 | $185.72 | $59,999.40 |
| New York | 394 | $89.78 | $114.71 | $163.88 | $197.25 | $924.43 |
| North Carolina | 405 | $89.78 | $114.71 | $128.25 | $195.05 | $59,999.40 |
| North Dakota | 72 | $89.78 | $128.25 | $163.88 | $189.26 | $504.49 |
| Ohio | 1,365 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Oklahoma | 141 | $89.78 | $114.71 | $163.88 | $198.17 | $59,999.40 |
| Oregon | 15,851 | $89.78 | $185.72 | $225.28 | $307.58 | $59,999.40 |
| Pennsylvania | 339 | $89.78 | $128.25 | $172.22 | $225.12 | $59,999.40 |
| Puerto Rico | 12 | $89.78 | $121.48 | $163.88 | $202.12 | $307.58 |
| Rhode Island | 32 | $89.78 | $114.71 | $163.88 | $251.46 | $59,999.40 |
| South Carolina | 156 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| South Dakota | 45 | $89.78 | $128.25 | $163.88 | $196.98 | $59,999.40 |
| Tennessee | 230 | $89.78 | $128.25 | $163.88 | $217.29 | $59,999.40 |
| Texas | 11,390 | $89.78 | $128.25 | $163.88 | $202.61 | $59,999.40 |
| U.S. Virgin Islands | 2 | $89.78 | $114.71 | $128.25 | $163.88 | $337.68 |
| Utah | 947 | $89.78 | $128.25 | $196.98 | $202.61 | $59,999.40 |
| Vermont | 33 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Virginia | 854 | $89.78 | $114.71 | $128.25 | $163.88 | $59,999.40 |
| Washington | 11,787 | $89.78 | $184.32 | $205.98 | $253.50 | $59,999.40 |
| West Virginia | 44 | $89.78 | $114.71 | $128.25 | $196.98 | $782.21 |
| Wisconsin | 237 | $89.78 | $114.71 | $163.88 | $202.02 | $59,999.40 |
| Wyoming | 100 | $89.78 | $114.71 | $128.25 | $185.72 | $59,999.40 |

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