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

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

- Insurer: Sentara Health Plans
- Billing code: 99243 (Office visits)
- Price shown: negotiated in-network price, office, doctor's fee
- Prices as of: 2026-10-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 428 | $104.59 | $116.21 | $116.21 | $116.21 | $297.52 |
| Alaska | 31 | $107.74 | $116.21 | $150.19 | $204.85 | $297.52 |
| Arizona | 499 | $84.69 | $116.21 | $116.21 | $152.53 | $297.52 |
| Arkansas | 154 | $11.62 | $116.21 | $116.21 | $143.94 | $297.52 |
| California | 1,312 | $55.33 | $116.21 | $116.21 | $155.90 | $305.64 |
| Colorado | 651 | $70.66 | $116.21 | $116.21 | $116.21 | $297.52 |
| Connecticut | 343 | $11.62 | $116.21 | $116.21 | $179.18 | $305.64 |
| Delaware | 246 | $107.74 | $116.21 | $124.37 | $155.90 | $297.52 |
| District of Columbia | 1,378 | $60.50 | $116.21 | $163.54 | $227.99 | $305.64 |
| Florida | 3,966 | $60.50 | $116.21 | $116.21 | $120.99 | $350.16 |
| Georgia | 1,459 | $97.84 | $116.21 | $116.21 | $116.21 | $305.64 |
| Guam | 4 | $116.21 | $143.31 | $155.95 | $161.43 | $246.77 |
| Hawaii | 98 | $108.71 | $116.21 | $116.21 | $161.96 | $297.52 |
| Idaho | 78 | $108.55 | $116.21 | $116.21 | $116.21 | $297.52 |
| Illinois | 857 | $60.50 | $116.21 | $116.21 | $150.08 | $305.64 |
| Indiana | 464 | $86.27 | $116.21 | $116.21 | $146.94 | $297.52 |
| Iowa | 146 | $60.50 | $116.21 | $116.21 | $123.62 | $297.52 |
| Kansas | 128 | $70.66 | $116.21 | $116.21 | $153.93 | $297.52 |
| Kentucky | 1,189 | $55.33 | $116.21 | $120.61 | $140.93 | $297.52 |
| Louisiana | 310 | $97.84 | $116.21 | $116.21 | $161.43 | $350.16 |
| Maine | 161 | $84.69 | $116.21 | $116.21 | $140.93 | $297.52 |
| Maryland | 6,839 | $55.33 | $129.04 | $245.30 | $264.53 | $542.29 |
| Massachusetts | 871 | $70.66 | $116.21 | $116.21 | $129.04 | $305.64 |
| Michigan | 643 | $60.50 | $116.21 | $116.21 | $161.43 | $297.52 |
| Minnesota | 693 | $60.50 | $116.21 | $116.21 | $207.69 | $297.52 |
| Mississippi | 149 | $97.84 | $116.21 | $116.21 | $140.93 | $297.52 |
| Missouri | 434 | $60.50 | $116.21 | $116.21 | $144.15 | $297.52 |
| Montana | 48 | $116.21 | $116.21 | $116.21 | $173.12 | $297.52 |
| Nebraska | 108 | $104.59 | $116.21 | $116.21 | $164.93 | $297.52 |
| Nevada | 208 | $70.66 | $116.21 | $116.21 | $140.93 | $297.52 |
| New Hampshire | 176 | $97.84 | $116.21 | $116.21 | $163.54 | $297.52 |
| New Jersey | 691 | $55.33 | $116.21 | $116.21 | $153.85 | $350.16 |
| New Mexico | 133 | $113.06 | $116.21 | $116.21 | $129.01 | $297.52 |
| New York | 1,804 | $60.50 | $116.21 | $116.21 | $155.90 | $305.64 |
| North Carolina | 6,512 | $49.80 | $116.21 | $116.21 | $197.18 | $350.16 |
| North Dakota | 57 | $107.74 | $116.21 | $116.21 | $116.21 | $207.94 |
| Ohio | 1,471 | $60.50 | $116.21 | $116.21 | $116.21 | $350.16 |
| Oklahoma | 226 | $98.59 | $116.21 | $116.21 | $139.67 | $297.52 |
| Oregon | 143 | $108.71 | $116.21 | $116.21 | $160.39 | $297.52 |
| Pennsylvania | 2,734 | $60.50 | $116.21 | $116.21 | $155.90 | $350.16 |
| Puerto Rico | 16 | $116.21 | $116.21 | $116.21 | $173.12 | $264.53 |
| Rhode Island | 107 | $86.27 | $116.21 | $116.21 | $163.54 | $297.52 |
| South Carolina | 1,507 | $97.84 | $116.21 | $116.21 | $116.21 | $305.64 |
| South Dakota | 40 | $116.21 | $116.21 | $116.21 | $155.52 | $246.77 |
| Tennessee | 3,447 | $60.50 | $116.21 | $161.43 | $162.20 | $511.00 |
| Texas | 2,240 | $60.50 | $116.21 | $116.21 | $120.61 | $305.64 |
| U.S. Virgin Islands | 4 | $116.21 | $116.21 | $179.18 | $179.18 | $291.89 |
| Utah | 241 | $97.84 | $116.21 | $116.21 | $124.66 | $305.64 |
| Vermont | 52 | $116.21 | $116.21 | $116.21 | $150.37 | $297.52 |
| Virginia | 26,061 | $55.33 | $143.86 | $179.18 | $223.13 | $11,410.00 |
| Washington | 360 | $107.74 | $116.21 | $116.21 | $179.18 | $297.52 |
| West Virginia | 1,064 | $60.50 | $116.21 | $116.21 | $146.23 | $350.16 |
| Wisconsin | 378 | $97.84 | $116.21 | $116.21 | $162.20 | $297.52 |
| Wyoming | 20 | $116.21 | $116.21 | $116.21 | $120.61 | $264.53 |

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