# Specialist consultation (standard): what Wellmark Blue Cross Blue Shield pays, by state

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

- Insurer: Wellmark Blue Cross Blue Shield
- 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 | 54 | $103.96 | $154.10 | $154.10 | $154.90 | $159.50 |
| Alaska | 25 | $121.74 | $131.60 | $154.10 | $159.50 | $159.50 |
| Arizona | 216 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| Arkansas | 43 | $103.96 | $154.10 | $154.10 | $154.90 | $159.50 |
| California | 528 | $85.10 | $154.10 | $154.90 | $154.90 | $161.00 |
| Colorado | 255 | $103.96 | $154.10 | $154.10 | $154.90 | $159.50 |
| Connecticut | 53 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| Delaware | 14 | $131.60 | $154.10 | $154.10 | $159.50 | $159.50 |
| District of Columbia | 24 | $154.10 | $154.10 | $154.90 | $154.90 | $159.50 |
| Florida | 382 | $85.10 | $154.10 | $154.10 | $154.90 | $161.00 |
| Georgia | 123 | $88.50 | $154.10 | $154.10 | $154.90 | $159.50 |
| Guam | 1 | $154.10 | $154.10 | $154.50 | $154.90 | $154.90 |
| Hawaii | 50 | $85.10 | $154.10 | $154.90 | $154.90 | $159.50 |
| Idaho | 37 | $121.74 | $131.60 | $154.10 | $154.90 | $159.50 |
| Illinois | 1,517 | $85.10 | $131.60 | $154.10 | $154.90 | $159.50 |
| Indiana | 165 | $97.88 | $154.10 | $154.10 | $154.90 | $159.50 |
| Iowa | 20,849 | $85.10 | $131.60 | $154.10 | $154.90 | $161.00 |
| Kansas | 160 | $85.10 | $131.60 | $154.10 | $154.90 | $159.50 |
| Kentucky | 64 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| Louisiana | 48 | $103.96 | $154.10 | $154.10 | $154.90 | $159.50 |
| Maine | 38 | $97.88 | $129.67 | $154.10 | $154.90 | $159.50 |
| Maryland | 74 | $103.96 | $154.10 | $154.90 | $154.90 | $159.50 |
| Massachusetts | 83 | $121.74 | $154.10 | $154.10 | $154.90 | $159.50 |
| Michigan | 214 | $97.88 | $154.10 | $154.10 | $154.90 | $159.50 |
| Minnesota | 1,020 | $85.10 | $154.10 | $154.10 | $154.90 | $161.00 |
| Mississippi | 29 | $121.74 | $154.10 | $154.10 | $154.90 | $159.50 |
| Missouri | 426 | $85.10 | $131.60 | $154.10 | $154.90 | $159.50 |
| Montana | 44 | $121.74 | $154.10 | $154.90 | $159.50 | $159.50 |
| Nebraska | 4,615 | $85.10 | $131.60 | $154.10 | $154.10 | $161.00 |
| Nevada | 77 | $85.10 | $154.10 | $154.90 | $154.90 | $159.50 |
| New Hampshire | 24 | $97.88 | $154.10 | $154.10 | $154.90 | $159.50 |
| New Jersey | 63 | $121.74 | $154.10 | $154.10 | $154.90 | $159.50 |
| New Mexico | 43 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| New York | 197 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| North Carolina | 203 | $88.50 | $154.10 | $154.90 | $154.90 | $159.50 |
| North Dakota | 207 | $88.50 | $154.10 | $159.50 | $159.50 | $161.00 |
| Ohio | 199 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| Oklahoma | 116 | $85.10 | $154.10 | $154.90 | $159.50 | $159.50 |
| Oregon | 89 | $103.96 | $154.10 | $154.10 | $154.90 | $159.50 |
| Pennsylvania | 169 | $121.74 | $154.10 | $154.10 | $154.90 | $159.50 |
| Puerto Rico | 7 | $121.74 | $154.10 | $154.90 | $159.50 | $159.50 |
| Rhode Island | 9 | $121.74 | $146.53 | $154.10 | $154.90 | $159.50 |
| South Carolina | 75 | $97.88 | $154.10 | $154.10 | $154.90 | $159.50 |
| South Dakota | 6,860 | $85.10 | $135.60 | $159.50 | $159.50 | $161.00 |
| Tennessee | 142 | $88.50 | $131.60 | $154.10 | $154.90 | $159.50 |
| Texas | 487 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| U.S. Virgin Islands | 2 | $131.60 | $131.60 | $131.60 | $145.55 | $159.50 |
| Utah | 70 | $103.96 | $154.10 | $154.10 | $154.90 | $159.50 |
| Vermont | 10 | $103.96 | $142.85 | $154.10 | $154.90 | $159.50 |
| Virginia | 126 | $103.96 | $154.10 | $154.10 | $154.90 | $159.50 |
| Washington | 165 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| West Virginia | 27 | $121.74 | $154.10 | $154.10 | $154.90 | $159.50 |
| Wisconsin | 493 | $85.10 | $154.10 | $154.10 | $154.90 | $159.50 |
| Wyoming | 58 | $88.50 | $154.10 | $159.50 | $159.50 | $159.50 |

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