# Specialist consultation (standard): what Point32Health pays, by state

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

- Insurer: Point32Health (Harvard Pilgrim and Tufts Health Plan)
- 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 | 82 | $101.18 | $114.66 | $182.83 | $293.14 | $451.61 |
| Alaska | 24 | $101.18 | $131.87 | $213.32 | $313.43 | $451.61 |
| Arizona | 172 | $91.73 | $128.54 | $193.20 | $293.02 | $451.61 |
| Arkansas | 41 | $83.18 | $117.10 | $175.74 | $266.01 | $451.61 |
| California | 722 | $67.45 | $122.33 | $181.11 | $292.30 | $451.61 |
| Colorado | 283 | $67.45 | $101.18 | $138.61 | $271.58 | $451.61 |
| Connecticut | 1,167 | $46.49 | $114.66 | $184.89 | $281.73 | $451.61 |
| Delaware | 49 | $91.73 | $123.92 | $230.37 | $307.95 | $451.61 |
| District of Columbia | 85 | $83.18 | $134.90 | $248.97 | $312.81 | $451.61 |
| Florida | 1,345 | $67.45 | $114.66 | $166.03 | $237.12 | $451.61 |
| Georgia | 308 | $91.73 | $106.24 | $159.48 | $266.37 | $451.61 |
| Guam | 2 | $139.75 | $142.92 | $146.10 | $149.27 | $152.44 |
| Hawaii | 45 | $101.18 | $128.23 | $199.65 | $310.06 | $451.61 |
| Idaho | 25 | $99.67 | $101.18 | $138.12 | $243.58 | $383.86 |
| Illinois | 372 | $67.45 | $134.90 | $209.81 | $292.50 | $451.61 |
| Indiana | 149 | $46.49 | $116.15 | $162.55 | $266.01 | $451.61 |
| Iowa | 50 | $67.45 | $131.69 | $148.39 | $263.80 | $367.35 |
| Kansas | 34 | $98.06 | $110.22 | $171.19 | $250.54 | $372.86 |
| Kentucky | 83 | $101.18 | $114.66 | $159.03 | $252.94 | $367.35 |
| Louisiana | 86 | $67.45 | $106.24 | $166.03 | $237.12 | $367.35 |
| Maine | 9,076 | $46.49 | $106.24 | $136.65 | $200.67 | $451.61 |
| Maryland | 279 | $91.73 | $136.65 | $251.94 | $313.37 | $451.61 |
| Massachusetts | 54,447 | $46.49 | $147.32 | $259.01 | $305.16 | $454.61 |
| Michigan | 245 | $83.18 | $134.90 | $220.40 | $297.67 | $451.61 |
| Minnesota | 370 | $46.49 | $136.65 | $179.87 | $252.94 | $451.61 |
| Mississippi | 43 | $101.18 | $101.18 | $136.65 | $273.01 | $451.61 |
| Missouri | 154 | $67.45 | $134.90 | $246.42 | $305.02 | $451.61 |
| Montana | 38 | $101.18 | $128.98 | $158.10 | $213.58 | $336.05 |
| Nebraska | 44 | $101.18 | $148.39 | $246.42 | $265.16 | $451.61 |
| Nevada | 53 | $101.18 | $114.66 | $144.07 | $233.31 | $312.24 |
| New Hampshire | 9,419 | $46.49 | $179.62 | $268.23 | $356.19 | $451.61 |
| New Jersey | 441 | $67.45 | $114.66 | $165.13 | $288.81 | $451.61 |
| New Mexico | 81 | $98.06 | $114.66 | $138.61 | $245.79 | $451.61 |
| New York | 1,549 | $46.49 | $114.66 | $188.86 | $293.14 | $451.61 |
| North Carolina | 414 | $67.45 | $106.24 | $167.82 | $267.77 | $451.61 |
| North Dakota | 21 | $101.18 | $136.65 | $176.63 | $265.16 | $367.35 |
| Ohio | 336 | $67.45 | $130.94 | $209.81 | $294.80 | $451.61 |
| Oklahoma | 66 | $101.18 | $134.90 | $213.49 | $296.76 | $451.61 |
| Oregon | 118 | $101.18 | $122.33 | $152.31 | $244.10 | $451.61 |
| Pennsylvania | 624 | $46.49 | $134.90 | $243.18 | $305.02 | $451.61 |
| Puerto Rico | 15 | $101.18 | $126.07 | $199.43 | $261.40 | $340.91 |
| Rhode Island | 7,659 | $46.49 | $114.66 | $136.65 | $244.34 | $451.61 |
| South Carolina | 167 | $67.45 | $114.66 | $169.34 | $266.37 | $451.61 |
| South Dakota | 18 | $101.18 | $115.35 | $145.14 | $259.83 | $367.35 |
| Tennessee | 171 | $67.45 | $114.66 | $178.34 | $259.01 | $451.61 |
| Texas | 714 | $67.45 | $114.66 | $181.32 | $292.67 | $451.61 |
| U.S. Virgin Islands | 1 | $209.81 | $209.81 | $209.81 | $209.81 | $209.81 |
| Utah | 76 | $101.18 | $114.66 | $209.81 | $317.15 | $451.61 |
| Vermont | 1,605 | $46.49 | $103.98 | $122.33 | $170.06 | $451.61 |
| Virginia | 338 | $91.73 | $111.55 | $145.14 | $249.17 | $372.86 |
| Washington | 229 | $83.18 | $119.69 | $167.72 | $292.73 | $451.61 |
| West Virginia | 35 | $101.18 | $134.90 | $240.28 | $305.82 | $451.61 |
| Wisconsin | 122 | $46.49 | $134.56 | $203.68 | $292.67 | $451.61 |
| Wyoming | 20 | $46.49 | $101.18 | $117.70 | $143.34 | $317.15 |

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/point32/statemap_99243_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)