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

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

- Insurer: UMR (a UnitedHealthcare company)
- 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 | 18,967 | $57.58 | $100.74 | $108.49 | $127.73 | $936.57 |
| Alaska | 2,700 | $64.00 | $171.49 | $313.37 | $328.52 | $821.30 |
| American Samoa | 1 | $158.16 | $158.16 | $158.16 | $158.16 | $158.16 |
| Arizona | 35,441 | $36.00 | $108.19 | $124.56 | $172.72 | $936.57 |
| Arkansas | 13,995 | $1.14 | $115.55 | $132.07 | $155.26 | $936.57 |
| California | 137,850 | $36.00 | $114.98 | $203.76 | $461.42 | $936.57 |
| Colorado | 35,567 | $37.75 | $128.47 | $176.55 | $264.87 | $936.57 |
| Connecticut | 24,290 | $36.00 | $127.66 | $181.74 | $223.54 | $936.57 |
| Delaware | 6,192 | $64.00 | $110.45 | $138.72 | $248.80 | $936.57 |
| District of Columbia | 5,889 | $36.00 | $126.16 | $237.29 | $264.87 | $936.57 |
| Florida | 99,205 | $36.00 | $106.97 | $133.00 | $196.88 | $936.57 |
| Georgia | 42,653 | $36.00 | $127.67 | $196.50 | $260.24 | $936.57 |
| Guam | 43 | $80.00 | $152.44 | $198.30 | $260.24 | $485.03 |
| Hawaii | 6,403 | $64.00 | $130.35 | $207.41 | $207.41 | $936.57 |
| Idaho | 9,229 | $57.58 | $132.25 | $167.52 | $193.24 | $936.57 |
| Illinois | 68,125 | $36.00 | $124.02 | $170.44 | $213.29 | $936.57 |
| Indiana | 32,971 | $1.07 | $113.46 | $131.57 | $157.06 | $936.57 |
| Iowa | 16,021 | $37.50 | $135.56 | $204.05 | $280.69 | $936.57 |
| Kansas | 14,641 | $49.12 | $126.16 | $138.46 | $179.73 | $596.77 |
| Kentucky | 25,624 | $37.75 | $114.40 | $127.59 | $164.28 | $936.57 |
| Louisiana | 23,865 | $36.00 | $114.20 | $143.69 | $181.11 | $936.57 |
| Maine | 10,251 | $46.49 | $136.65 | $170.85 | $213.32 | $936.57 |
| Maryland | 31,863 | $36.00 | $110.93 | $158.40 | $225.21 | $936.57 |
| Massachusetts | 56,092 | $36.00 | $148.39 | $264.07 | $315.30 | $936.57 |
| Michigan | 46,002 | $47.44 | $121.54 | $138.31 | $152.82 | $936.57 |
| Minnesota | 34,235 | $36.00 | $169.10 | $295.44 | $398.86 | $936.57 |
| Mississippi | 13,712 | $57.58 | $112.81 | $129.88 | $158.47 | $936.57 |
| Missouri | 32,946 | $36.00 | $120.41 | $146.20 | $187.76 | $936.57 |
| Montana | 5,869 | $36.00 | $161.87 | $201.26 | $221.19 | $821.30 |
| Nebraska | 14,333 | $63.23 | $145.66 | $242.15 | $288.29 | $936.57 |
| Nevada | 11,766 | $31.00 | $114.20 | $129.13 | $181.48 | $936.57 |
| New Hampshire | 9,912 | $36.00 | $146.58 | $237.30 | $451.61 | $936.57 |
| New Jersey | 42,008 | $36.00 | $107.06 | $141.08 | $214.96 | $936.57 |
| New Mexico | 9,372 | $60.00 | $136.62 | $180.40 | $245.60 | $936.57 |
| New York | 117,438 | $36.00 | $110.93 | $152.06 | $259.89 | $936.57 |
| North Carolina | 57,794 | $36.00 | $120.95 | $186.81 | $230.01 | $936.57 |
| North Dakota | 3,614 | $64.00 | $134.23 | $219.69 | $283.87 | $603.64 |
| Northern Mariana Islands | 7 | $94.46 | $133.49 | $170.52 | $210.86 | $238.04 |
| Ohio | 67,867 | $1.08 | $114.20 | $163.74 | $219.13 | $936.57 |
| Oklahoma | 17,355 | $64.00 | $109.58 | $138.55 | $170.03 | $936.57 |
| Oregon | 21,993 | $36.00 | $186.75 | $263.78 | $322.79 | $936.57 |
| Pennsylvania | 75,233 | $36.00 | $122.42 | $181.18 | $229.25 | $936.57 |
| Puerto Rico | 376 | $66.25 | $113.36 | $145.41 | $224.58 | $463.43 |
| Rhode Island | 7,663 | $6.51 | $118.58 | $143.45 | $201.28 | $936.57 |
| South Carolina | 24,256 | $1.14 | $115.87 | $149.55 | $208.43 | $936.57 |
| South Dakota | 4,951 | $47.25 | $145.83 | $205.85 | $230.72 | $603.64 |
| Tennessee | 37,344 | $36.00 | $117.15 | $154.96 | $223.04 | $936.57 |
| Texas | 129,770 | $36.00 | $107.48 | $130.99 | $172.78 | $936.57 |
| U.S. Virgin Islands | 405 | $85.79 | $431.00 | $431.00 | $431.00 | $463.43 |
| Utah | 13,670 | $36.00 | $116.16 | $157.33 | $167.87 | $936.57 |
| Vermont | 3,642 | $63.23 | $165.72 | $186.92 | $337.05 | $936.57 |
| Virginia | 40,844 | $60.00 | $113.94 | $176.08 | $213.54 | $936.57 |
| Washington | 41,104 | $36.00 | $160.50 | $226.70 | $286.44 | $936.57 |
| West Virginia | 10,456 | $64.00 | $111.62 | $169.35 | $282.33 | $707.72 |
| Wisconsin | 31,902 | $36.00 | $155.66 | $277.79 | $325.98 | $936.57 |
| Wyoming | 1,796 | $46.49 | $137.28 | $200.08 | $216.38 | $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/umr/statemap_99243_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)