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: UMR (a UnitedHealthcare company)
Prices shown: in-person office visits only
Doctor’s fee or facility fee? These are doctors' fees for a visit in their own office. An independent practice usually charges nothing more, but a clinic owned by a hospital may add a separate facility fee — worth asking before you book. Where a state has both, the table and each state’s popup show the doctor’s fee and the facility fee side by side; their sum is a rough total for the visit, before anything else done during it.
Who is counted: UMR lists clinicians individually: 89% of the 2,027,240 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: Prices found in only some copies of a network: these files repeat themselves heavily, so each group of nearly identical files was read once, through one of its files. Checks on the largest groups found their files share 98-100% of their prices; the rest, typically 1-2%, is not shown. Which employer: UMR's files are published employer by employer, but this site shows prices by network and state only, so no employer is named here.
StateProvidersOrganisationsZip codes Lowest25th pctMedian75th pctHighestDoctor’s feeFacility fee
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.