# Specialist consultation (standard): what Premera Blue Cross pays, by state

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

- Insurer: Premera Blue Cross
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's and facility fees
- Prices as of: 2026-10-02
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alaska | 1 | $3,495.87 | $3,495.87 | $3,495.87 | $3,495.87 | $3,495.87 |
| Colorado | 2 | $8.00 | $8.00 | $40.00 | $40.00 | $176.58 |
| Michigan | 1 | $176.58 | $176.58 | $176.58 | $176.58 | $176.58 |
| Nevada | 1 | $176.58 | $176.58 | $176.58 | $176.58 | $176.58 |
| New York | 2 | $176.58 | $176.58 | $176.58 | $176.58 | $176.58 |
| Oregon | 1 | $176.58 | $176.58 | $176.58 | $176.58 | $176.58 |
| Texas | 2 | $176.58 | $176.58 | $176.58 | $176.58 | $176.58 |
| Washington | 5 | $176.58 | $176.58 | $176.58 | $176.58 | $884.00 |

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