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

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

- Insurer: UnitedHealthcare
- 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 | 18,998 | $47.84 | $100.74 | $109.58 | $130.27 | $936.57 |
| Alaska | 2,718 | $50.00 | $177.59 | $316.69 | $328.52 | $821.30 |
| American Samoa | 1 | $158.16 | $158.16 | $158.16 | $158.16 | $158.16 |
| Arizona | 35,215 | $35.00 | $108.19 | $125.64 | $186.57 | $936.57 |
| Arkansas | 14,085 | $1.14 | $114.20 | $132.07 | $155.26 | $936.57 |
| California | 140,344 | $35.00 | $118.36 | $171.69 | $356.36 | $936.57 |
| Colorado | 34,639 | $35.00 | $133.66 | $177.59 | $276.80 | $936.57 |
| Connecticut | 24,703 | $46.49 | $123.65 | $178.36 | $219.74 | $936.57 |
| Delaware | 6,199 | $50.00 | $110.32 | $138.72 | $248.80 | $936.57 |
| District of Columbia | 5,889 | $56.65 | $128.15 | $235.73 | $264.87 | $936.57 |
| Florida | 101,341 | $35.00 | $104.33 | $131.74 | $196.53 | $936.57 |
| Georgia | 43,154 | $35.00 | $129.01 | $200.05 | $260.24 | $936.57 |
| Guam | 43 | $80.00 | $156.52 | $198.93 | $263.84 | $485.03 |
| Hawaii | 6,417 | $64.00 | $130.35 | $207.41 | $207.41 | $936.57 |
| Idaho | 9,212 | $35.00 | $132.25 | $167.52 | $193.24 | $936.57 |
| Illinois | 67,931 | $35.00 | $123.68 | $171.18 | $221.98 | $936.57 |
| Indiana | 32,988 | $1.07 | $113.46 | $132.91 | $160.18 | $936.57 |
| Iowa | 16,866 | $37.50 | $135.62 | $216.99 | $295.44 | $936.57 |
| Kansas | 14,605 | $49.12 | $126.16 | $138.46 | $181.45 | $598.00 |
| Kentucky | 25,623 | $37.75 | $114.40 | $128.75 | $165.26 | $936.57 |
| Louisiana | 23,825 | $49.12 | $114.20 | $138.55 | $181.11 | $936.57 |
| Maine | 10,463 | $46.49 | $136.65 | $172.22 | $213.32 | $936.57 |
| Maryland | 31,950 | $38.37 | $111.53 | $158.83 | $225.39 | $936.57 |
| Massachusetts | 56,497 | $35.00 | $165.84 | $260.63 | $313.37 | $936.57 |
| Michigan | 46,028 | $35.00 | $122.98 | $138.31 | $155.35 | $936.57 |
| Minnesota | 42,225 | $35.00 | $203.73 | $310.95 | $391.05 | $936.57 |
| Mississippi | 13,705 | $35.00 | $112.81 | $127.35 | $153.86 | $936.57 |
| Missouri | 32,811 | $35.00 | $121.81 | $146.20 | $187.76 | $936.57 |
| Montana | 5,763 | $66.00 | $168.00 | $201.26 | $221.38 | $821.30 |
| Nebraska | 14,431 | $63.23 | $150.07 | $245.31 | $291.81 | $936.57 |
| Nevada | 12,827 | $35.00 | $111.04 | $126.67 | $171.01 | $936.57 |
| New Hampshire | 10,201 | $44.52 | $159.18 | $265.10 | $391.62 | $936.57 |
| New Jersey | 42,720 | $35.00 | $101.92 | $130.71 | $213.84 | $936.57 |
| New Mexico | 9,339 | $50.00 | $136.62 | $183.04 | $245.60 | $936.57 |
| New York | 122,187 | $15.00 | $110.80 | $148.69 | $232.88 | $936.57 |
| North Carolina | 57,910 | $35.00 | $120.95 | $186.81 | $228.87 | $936.57 |
| North Dakota | 6,384 | $66.25 | $203.73 | $229.94 | $283.87 | $707.72 |
| Northern Mariana Islands | 7 | $94.46 | $139.60 | $171.01 | $207.41 | $238.04 |
| Ohio | 68,588 | $1.08 | $114.20 | $163.38 | $219.13 | $936.57 |
| Oklahoma | 16,970 | $63.46 | $108.81 | $138.55 | $170.13 | $936.57 |
| Oregon | 22,015 | $50.00 | $184.97 | $263.78 | $322.79 | $936.57 |
| Pennsylvania | 75,958 | $35.00 | $121.25 | $179.96 | $229.25 | $936.57 |
| Puerto Rico | 381 | $63.46 | $114.20 | $150.40 | $227.46 | $598.00 |
| Rhode Island | 7,679 | $6.51 | $119.91 | $147.51 | $216.50 | $936.57 |
| South Carolina | 24,510 | $1.14 | $115.87 | $149.55 | $207.35 | $936.57 |
| South Dakota | 6,595 | $47.25 | $200.36 | $220.55 | $248.38 | $603.64 |
| Tennessee | 37,685 | $35.00 | $117.87 | $160.31 | $223.04 | $936.57 |
| Texas | 129,998 | $35.00 | $107.48 | $132.22 | $175.32 | $936.57 |
| U.S. Virgin Islands | 405 | $85.79 | $431.00 | $431.00 | $431.00 | $463.43 |
| Utah | 13,715 | $35.00 | $122.15 | $151.72 | $157.33 | $936.57 |
| Vermont | 3,666 | $50.00 | $173.75 | $210.20 | $269.39 | $936.57 |
| Virginia | 40,974 | $35.00 | $113.94 | $176.08 | $213.63 | $936.57 |
| Washington | 41,554 | $35.00 | $160.50 | $230.59 | $302.52 | $936.57 |
| West Virginia | 10,464 | $66.00 | $111.62 | $169.35 | $282.33 | $707.72 |
| Wisconsin | 32,933 | $25.00 | $203.73 | $310.47 | $440.51 | $936.57 |
| Wyoming | 1,750 | $46.49 | $143.77 | $202.42 | $220.55 | $699.02 |

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