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: Quartz
Prices shown: in-person office visits only
Doctor’s fee or facility fee? These are single prices the insurer publishes for both the doctor's and the facility's part of the service.
Who is counted: Quartz lists clinicians individually: 94% of the 32,724 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: Care outside Quartz's area: for some plans, Quartz rents Cigna's national PPO network. Those prices are Cigna's, and they are in this site's Cigna section, not here. Care outside Quartz's area through MultiPlan: for some plans, Quartz also rents the national MultiPlan (PHCS) network. Its prices are MultiPlan's, set nationwide, so they are not included here.
Procedure
Breast lump removal (open surgery) Heart valve surgery with catheterization (hospital stay) Shoulder arthroscopy for impingement Knee arthroscopy - torn cartilage trim Blood draw Tonsil and adenoid removal (under 12) Upper endoscopy (diagnostic) Upper endoscopy with biopsy Colonoscopy (diagnostic) Colonoscopy with biopsy Colonoscopy with polyp removal Colonoscopy with ultrasound Hip or knee replacement (hospital stay) Neck spinal fusion (hospital stay) Gallbladder removal (laparoscopic) Groin hernia repair (age 5+) Prostate removal for cancer (laparoscopic) Vaginal childbirth - full maternity care C-section - full maternity care Vaginal birth after cesarean - full maternity care Epidural steroid injection, lower back (no imaging) Epidural steroid injection, lower back (with imaging) Nerve root steroid injection, lower back Laser fix for cloudy vision after cataract surgery Cataract surgery with lens implant CT scan of the head (no dye) MRI of the brain (no dye) MRI of the brain (with and without dye) Chest X-ray (single view) Chest X-ray (two views) Lower back X-ray (4+ views) MRI of the lower back (no dye) CT scan of the pelvis (with dye) MRI of a leg joint (no dye) CT scan of abdomen and pelvis (with dye) Uterus or ovary surgery, non-cancer (hospital stay) Abdominal ultrasound (complete) Pregnancy ultrasound (after 14 weeks) Transvaginal pelvic ultrasound Diagnostic mammogram, one breast Diagnostic mammogram, both breasts Screening mammogram (routine) Basic metabolic panel (BMP) Comprehensive metabolic panel (CMP) Pregnancy blood test panel Cholesterol test (lipid panel) Kidney function panel Liver function panel Urine test with microscope (manual) Urine test with microscope (automated) Basic urine test (manual) Basic urine test (automated) Hemoglobin A1c (3-month blood sugar) PSA prostate blood test (total) PSA prostate blood test (free) Thyroid blood test (TSH) Complete blood count with differential (CBC) Complete blood count (CBC, basic) Blood clotting time test (PT/INR) Blood clotting test (PTT) Therapy session (30 minutes) Therapy session (45 minutes) Therapy session (60 minutes) Family therapy (without the patient present) Family or couples therapy (patient present) Group therapy session Electrocardiogram (EKG) Heart catheterization (left heart) Overnight sleep study (in a lab) Physical therapy - therapeutic exercise (15 min) Physical therapy - balance and coordination (15 min) Physical therapy - hands-on manual therapy (15 min) Physical therapy - functional activities (15 min) Office visit, new patient (short) Office visit, new patient (standard) Office visit, new patient (extended) Office visit, new patient (complex) Quick office visit, existing patient Office visit, existing patient (short) Office visit, existing patient (standard) Office visit, existing patient (extended) Office visit, existing patient (complex) Hospital bedside visit, moderate (per day) Hospital bedside visit, high complexity (per day) Specialist consultation (standard) Specialist consultation (extended) Emergency room visit (low complexity) Emergency room visit (moderate complexity) Emergency room visit (high complexity) Emergency room visit (most complex) Annual checkup, new patient (age 18-39) Annual checkup, new patient (age 40-64) Annual checkup, existing patient (age 18-39) Annual checkup, existing patient (age 40-64) Screening colonoscopy (average risk) Home health visit by a registered nurse (15 min)
Plan
All plans Quartz
Specialty All specialties Nurse Practitioner Counselor Physician Assistant Social Worker Family Medicine Physical Therapist Internal Medicine Emergency Medicine Student in an Organized Health Care Education/Training Program Registered Nurse Optometrist Diagnostic Radiology Occupational Therapist Nurse Anesthetist, Certified Registered Neurology Anesthesiology Cardiovascular Disease Obstetrics & Gynecology Hospitalist Pediatrics Clinical Medical Laboratory Other / not stated