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

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

- Insurer: Oscar 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 | 1,010 | $47.84 | $97.07 | $108.49 | $108.49 | $296.34 |
| Alaska | 200 | $71.55 | $114.20 | $203.28 | $203.28 | $239.16 |
| Arizona | 4,371 | $55.00 | $97.07 | $107.48 | $114.20 | $439.54 |
| Arkansas | 951 | $38.88 | $92.22 | $107.48 | $110.93 | $417.15 |
| California | 15,954 | $47.84 | $107.48 | $119.91 | $136.62 | $587.03 |
| Colorado | 5,674 | $44.52 | $107.48 | $110.93 | $121.81 | $413.57 |
| Connecticut | 3,544 | $61.75 | $114.35 | $123.65 | $132.41 | $439.54 |
| Delaware | 545 | $65.00 | $97.07 | $111.63 | $121.81 | $316.02 |
| District of Columbia | 744 | $66.15 | $106.78 | $110.00 | $125.62 | $452.14 |
| Florida | 14,049 | $15.00 | $101.92 | $110.93 | $119.91 | $734.00 |
| Georgia | 4,681 | $47.84 | $107.48 | $114.20 | $125.71 | $734.00 |
| Hawaii | 629 | $64.00 | $107.48 | $114.20 | $114.20 | $444.94 |
| Idaho | 721 | $66.15 | $96.18 | $107.48 | $113.16 | $316.02 |
| Illinois | 10,256 | $37.50 | $90.94 | $101.92 | $110.93 | $506.46 |
| Indiana | 2,819 | $66.25 | $92.22 | $108.49 | $109.86 | $316.02 |
| Iowa | 1,686 | $37.50 | $92.22 | $108.49 | $129.79 | $814.74 |
| Kansas | 1,176 | $66.15 | $92.22 | $107.48 | $108.49 | $444.94 |
| Kentucky | 2,183 | $57.75 | $92.22 | $107.48 | $110.32 | $413.57 |
| Louisiana | 1,969 | $63.25 | $97.07 | $107.48 | $114.20 | $452.14 |
| Maine | 1,330 | $66.00 | $111.88 | $125.62 | $162.64 | $356.38 |
| Maryland | 4,506 | $38.37 | $101.92 | $107.48 | $119.91 | $431.61 |
| Massachusetts | 8,572 | $50.92 | $123.88 | $131.90 | $175.88 | $507.97 |
| Michigan | 4,179 | $47.44 | $97.07 | $114.20 | $114.20 | $507.97 |
| Minnesota | 4,779 | $47.84 | $129.34 | $152.05 | $192.77 | $424.72 |
| Mississippi | 928 | $62.00 | $92.22 | $92.22 | $108.49 | $316.02 |
| Missouri | 3,020 | $38.88 | $107.48 | $108.49 | $116.13 | $439.54 |
| Montana | 595 | $66.00 | $112.00 | $114.20 | $127.00 | $370.78 |
| Nebraska | 2,891 | $66.25 | $66.25 | $66.25 | $118.36 | $734.00 |
| Nevada | 1,148 | $66.15 | $97.07 | $107.48 | $114.20 | $282.28 |
| New Hampshire | 993 | $44.52 | $112.65 | $117.76 | $130.58 | $417.15 |
| New Jersey | 6,024 | $66.00 | $107.48 | $110.93 | $119.91 | $600.90 |
| New Mexico | 1,201 | $66.15 | $99.61 | $110.63 | $117.19 | $587.03 |
| New York | 15,532 | $57.25 | $107.48 | $110.93 | $125.62 | $600.90 |
| North Carolina | 5,856 | $51.56 | $92.22 | $108.49 | $110.93 | $734.00 |
| North Dakota | 341 | $66.25 | $119.50 | $121.81 | $140.59 | $272.94 |
| Ohio | 6,734 | $48.17 | $97.07 | $110.93 | $114.20 | $444.94 |
| Oklahoma | 1,208 | $66.00 | $92.22 | $108.49 | $110.93 | $420.18 |
| Oregon | 2,192 | $47.84 | $121.81 | $180.85 | $180.85 | $587.03 |
| Pennsylvania | 6,271 | $45.00 | $105.00 | $114.20 | $119.91 | $507.97 |
| Puerto Rico | 62 | $71.00 | $114.20 | $114.20 | $121.81 | $370.78 |
| Rhode Island | 1,497 | $48.17 | $91.83 | $108.49 | $121.81 | $459.57 |
| South Carolina | 1,617 | $38.88 | $99.90 | $108.49 | $119.91 | $431.61 |
| South Dakota | 343 | $47.25 | $106.28 | $125.04 | $137.25 | $444.94 |
| Tennessee | 3,374 | $44.52 | $92.22 | $108.49 | $114.20 | $417.15 |
| Texas | 15,469 | $47.25 | $107.48 | $110.93 | $114.20 | $734.00 |
| U.S. Virgin Islands | 51 | $97.07 | $413.57 | $413.57 | $444.94 | $444.94 |
| Utah | 1,502 | $66.25 | $97.07 | $110.93 | $124.26 | $444.94 |
| Vermont | 300 | $66.25 | $104.16 | $114.20 | $116.94 | $444.94 |
| Virginia | 4,996 | $25.48 | $101.92 | $110.93 | $114.98 | $734.00 |
| Washington | 3,794 | $66.00 | $110.93 | $137.59 | $161.87 | $471.91 |
| West Virginia | 878 | $66.00 | $97.07 | $114.20 | $135.95 | $182.21 |
| Wisconsin | 2,758 | $65.50 | $107.18 | $126.09 | $145.67 | $424.72 |
| Wyoming | 168 | $66.25 | $107.48 | $122.20 | $125.62 | $180.85 |

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