Specialist consultation (standard)

A specialist's opinion visit, requested by another doctor, about 40 minutes.
Code 99243 · Office visits · statewide summary · negotiated in-network prices
Payers shown: Oscar Health
Prices shown: in-person office visits only
Doctor’s fee or facility fee? These are doctors' fees for a visit in their own office. An independent practice usually charges nothing more, but a clinic owned by a hospital may add a separate facility fee — worth asking before you book. Where a state has both, the table and each state’s popup show the doctor’s fee and the facility fee side by side; their sum is a rough total for the visit, before anything else done during it.
Who is counted: Oscar Health lists clinicians individually: 99% of the 523,232 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs.
Not on this map: Hospital stays: Oscar Health's files have no prices for whole hospital stays (the kind billed as one amount per stay), so there are no hospital-stay maps for it. It may pay hospitals by the day or as a share of their charges, which these maps cannot show.
StateProvidersOrganisationsZip codes Lowest25th pctMedian75th pctHighestDoctor’s feeFacility fee
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.