# Specialist consultation (extended): what UPMC Health Plan pays, by state

A specialist's opinion visit, requested by another doctor, about 60 minutes.

- Insurer: UPMC Health Plan
- Billing code: 99244 (Office visits)
- Price shown: negotiated in-network price, office, doctor's and facility fees
- Prices as of: 2026-09-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest |
|---|---|---|---|---|---|---|
| Alabama | 26 | $139.32 | $199.65 | $199.65 | $199.65 | $199.65 |
| Alaska | 6 | $187.15 | $199.65 | $199.65 | $199.65 | $199.65 |
| Arizona | 56 | $99.36 | $199.65 | $199.65 | $199.65 | $231.74 |
| Arkansas | 18 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |
| California | 274 | $99.36 | $199.65 | $199.65 | $199.65 | $462.08 |
| Colorado | 52 | $99.36 | $199.65 | $199.65 | $199.65 | $360.38 |
| Connecticut | 69 | $99.36 | $199.65 | $199.65 | $199.65 | $483.75 |
| Delaware | 92 | $99.36 | $199.65 | $199.65 | $199.65 | $403.09 |
| District of Columbia | 35 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| Florida | 352 | $99.36 | $199.65 | $199.65 | $199.65 | $483.75 |
| Georgia | 107 | $99.36 | $199.65 | $199.65 | $199.65 | $231.74 |
| Hawaii | 9 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |
| Idaho | 11 | $99.36 | $199.65 | $199.65 | $199.65 | $326.92 |
| Illinois | 134 | $99.36 | $199.65 | $199.65 | $199.65 | $382.81 |
| Indiana | 42 | $99.36 | $199.65 | $199.65 | $199.65 | $382.81 |
| Iowa | 20 | $199.65 | $199.65 | $199.65 | $199.65 | $231.74 |
| Kansas | 16 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| Kentucky | 40 | $99.36 | $199.65 | $199.65 | $199.65 | $556.14 |
| Louisiana | 18 | $99.36 | $199.65 | $199.65 | $199.65 | $328.94 |
| Maine | 32 | $99.36 | $199.65 | $199.65 | $199.65 | $462.08 |
| Maryland | 619 | $99.36 | $199.65 | $199.65 | $199.65 | $556.14 |
| Massachusetts | 108 | $99.36 | $199.65 | $199.65 | $199.65 | $360.38 |
| Michigan | 142 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| Minnesota | 326 | $99.36 | $199.65 | $199.65 | $199.65 | $426.89 |
| Mississippi | 14 | $199.65 | $199.65 | $199.65 | $199.65 | $231.74 |
| Missouri | 63 | $125.28 | $199.65 | $199.65 | $199.65 | $199.65 |
| Montana | 10 | $99.36 | $199.65 | $199.65 | $199.65 | $382.81 |
| Nebraska | 8 | $125.28 | $199.65 | $199.65 | $199.65 | $199.65 |
| Nevada | 35 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |
| New Hampshire | 29 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |
| New Jersey | 310 | $99.36 | $199.65 | $199.65 | $199.65 | $462.08 |
| New Mexico | 20 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| New York | 1,343 | $99.36 | $199.65 | $199.65 | $199.65 | $556.14 |
| North Carolina | 153 | $99.36 | $199.65 | $199.65 | $199.65 | $483.75 |
| North Dakota | 10 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |
| Ohio | 1,548 | $99.36 | $199.65 | $199.65 | $199.65 | $483.75 |
| Oklahoma | 18 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| Oregon | 36 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| Pennsylvania | 26,673 | $99.36 | $199.65 | $199.65 | $199.65 | $827.66 |
| Puerto Rico | 5 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |
| Rhode Island | 18 | $125.28 | $199.65 | $199.65 | $199.65 | $199.65 |
| South Carolina | 76 | $125.28 | $199.65 | $199.65 | $199.65 | $199.65 |
| South Dakota | 4 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |
| Tennessee | 63 | $125.28 | $199.65 | $199.65 | $199.65 | $426.89 |
| Texas | 205 | $99.36 | $199.65 | $199.65 | $199.65 | $426.89 |
| Utah | 16 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| Vermont | 6 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| Virginia | 206 | $99.36 | $199.65 | $199.65 | $199.65 | $462.08 |
| Washington | 64 | $99.36 | $199.65 | $199.65 | $199.65 | $199.65 |
| West Virginia | 519 | $99.36 | $199.65 | $199.65 | $199.65 | $483.75 |
| Wisconsin | 46 | $125.28 | $199.65 | $199.65 | $199.65 | $411.28 |
| Wyoming | 3 | $199.65 | $199.65 | $199.65 | $199.65 | $199.65 |

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/upmc/statemap_99244_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)