# Specialist consultation (standard): what Molina Healthcare pays, by state

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

- Insurer: Molina Healthcare
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-09-21
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 17 | $66.81 | $110.61 | $121.48 | $136.72 | $176.58 |
| Alaska | 4 | $85.04 | $112.94 | $122.15 | $153.96 | $176.58 |
| Arizona | 49 | $66.81 | $96.50 | $111.95 | $127.55 | $176.58 |
| Arkansas | 9 | $60.74 | $100.81 | $115.95 | $121.48 | $131.71 |
| California | 117 | $60.74 | $97.69 | $120.90 | $151.75 | $176.58 |
| Colorado | 37 | $60.74 | $108.72 | $122.85 | $154.58 | $176.58 |
| Connecticut | 22 | $66.81 | $98.56 | $111.24 | $122.47 | $176.58 |
| Delaware | 5 | $66.81 | $82.91 | $95.93 | $98.72 | $127.55 |
| District of Columbia | 19 | $66.81 | $83.10 | $97.30 | $109.76 | $131.71 |
| Florida | 318 | $66.81 | $121.83 | $151.75 | $170.86 | $176.58 |
| Georgia | 71 | $66.81 | $98.55 | $122.47 | $154.08 | $176.58 |
| Hawaii | 7 | $66.81 | $121.75 | $139.65 | $160.34 | $176.58 |
| Idaho | 7 | $66.81 | $88.15 | $98.40 | $123.34 | $176.58 |
| Illinois | 81 | $66.81 | $100.22 | $121.48 | $153.60 | $176.58 |
| Indiana | 160 | $60.74 | $99.24 | $121.48 | $153.60 | $176.58 |
| Iowa | 12 | $66.81 | $83.10 | $96.26 | $102.84 | $127.55 |
| Kansas | 11 | $66.81 | $83.37 | $97.24 | $107.02 | $127.55 |
| Kentucky | 716 | $51.63 | $100.22 | $100.22 | $121.83 | $176.58 |
| Louisiana | 16 | $66.81 | $120.99 | $127.55 | $156.83 | $176.58 |
| Maine | 14 | $60.74 | $100.41 | $115.93 | $121.48 | $131.71 |
| Maryland | 49 | $66.81 | $96.26 | $121.48 | $153.60 | $176.58 |
| Massachusetts | 28 | $66.81 | $96.03 | $120.99 | $127.55 | $176.58 |
| Michigan | 251 | $60.74 | $82.00 | $97.46 | $121.48 | $176.58 |
| Minnesota | 105 | $66.81 | $100.22 | $100.22 | $121.66 | $176.58 |
| Mississippi | 8 | $66.81 | $104.04 | $118.60 | $131.50 | $176.58 |
| Missouri | 37 | $66.81 | $96.50 | $116.76 | $141.73 | $176.58 |
| Montana | 5 | $100.22 | $127.55 | $127.55 | $127.55 | $127.55 |
| Nebraska | 10 | $66.81 | $82.84 | $95.93 | $99.03 | $127.55 |
| Nevada | 25 | $60.74 | $84.18 | $97.46 | $122.85 | $176.58 |
| New Hampshire | 9 | $66.81 | $85.04 | $85.04 | $102.80 | $127.55 |
| New Jersey | 33 | $66.81 | $97.10 | $101.92 | $121.48 | $176.58 |
| New Mexico | 3 | $82.70 | $93.65 | $109.39 | $121.48 | $121.48 |
| New York | 99 | $60.74 | $100.22 | $121.83 | $153.60 | $176.58 |
| North Carolina | 83 | $66.81 | $88.15 | $100.22 | $123.06 | $176.58 |
| North Dakota | 3 | $100.22 | $113.89 | $123.00 | $127.86 | $128.77 |
| Ohio | 25,856 | $51.63 | $83.10 | $97.46 | $121.48 | $199.46 |
| Oklahoma | 8 | $66.81 | $82.70 | $95.83 | $99.03 | $121.48 |
| Oregon | 33 | $66.81 | $93.29 | $109.76 | $152.81 | $176.58 |
| Pennsylvania | 261 | $60.74 | $81.62 | $100.22 | $123.44 | $176.58 |
| Puerto Rico | 4 | $97.18 | $123.06 | $153.84 | $172.05 | $176.58 |
| Rhode Island | 3 | $108.12 | $113.28 | $118.44 | $123.00 | $127.55 |
| South Carolina | 44 | $66.81 | $111.59 | $121.83 | $153.60 | $176.58 |
| South Dakota | 5 | $66.81 | $121.48 | $121.48 | $127.55 | $128.77 |
| Tennessee | 70 | $60.74 | $97.34 | $116.60 | $151.75 | $176.58 |
| Texas | 142 | $60.74 | $97.30 | $118.20 | $151.75 | $176.58 |
| U.S. Virgin Islands | 2 | $66.81 | $80.48 | $94.15 | $107.81 | $121.48 |
| Utah | 8 | $66.81 | $100.22 | $121.48 | $121.48 | $127.55 |
| Vermont | 1 | $66.81 | $66.81 | $66.81 | $66.81 | $66.81 |
| Virginia | 77 | $60.74 | $97.30 | $121.48 | $152.81 | $176.58 |
| Washington | 39 | $66.81 | $88.15 | $100.22 | $127.55 | $176.58 |
| West Virginia | 767 | $66.81 | $95.83 | $100.22 | $100.22 | $176.58 |
| Wisconsin | 35 | $66.81 | $96.03 | $121.48 | $128.16 | $176.58 |
| Wyoming | 4 | $66.81 | $66.81 | $85.04 | $100.22 | $100.22 |

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