Price ShopperLook up your ZIP · Joint replacement atlasHow much does specialist consultation cost?
An office consultation requested by another doctor, moderate complexity (about 40 minutes under the 2023 descriptors; CMS listed it as 60 minutes in 2019). Medicare does not pay consultation codes. What Medicare pays in each setting, in every state, and where it costs less.
An office consultation requested by another doctor, moderate complexity (about 40 minutes under the 2023 descriptors; CMS listed it as 60 minutes in 2019). Medicare does not pay consultation codes.
Medicare does not pay code 99244; the price shown is the closest code Medicare pays (99204), as a stand-in. Commercial plans pay the code itself.
Look up the price in your ZIP codeAll services
By state
| State | Office or clinic |
|---|---|
| Alabama | $164 |
| Alaska | $223 |
| Arizona | $174 |
| Arkansas | $162 |
| California | $183–$220 |
| Colorado | $182 |
| Connecticut | $187 |
| Delaware | $176 |
| District of Columbia | $198 |
| Florida | $178–$193 |
| Georgia | $170–$181 |
| Hawaii | $185 |
| Idaho | $167 |
| Illinois | $175–$189 |
| Indiana | $167 |
| Iowa | $166 |
| Kansas | $165 |
| Kentucky | $168 |
| Louisiana | $168–$174 |
| Maine | $168–$174 |
| Maryland | $179–$187 |
| Massachusetts | $181–$196 |
| Michigan | $171–$180 |
| Minnesota | $174 |
| Mississippi | $164 |
| Missouri | $166–$173 |
| Montana | $177 |
| Nebraska | $166 |
| Nevada | $176 |
| New Hampshire | $180 |
| New Jersey | $189–$197 |
| New Mexico | $172 |
| New York | $171–$205 |
| North Carolina | $169 |
| North Dakota | $173 |
| Ohio | $170 |
| Oklahoma | $167 |
| Oregon | $175–$186 |
| Pennsylvania | $170–$184 |
| Rhode Island | $181 |
| South Carolina | $170 |
| South Dakota | $172 |
| Tennessee | $166 |
| Texas | $169–$181 |
| Utah | $172 |
| Vermont | $173 |
| Virginia | $174 |
| Washington | $181–$199 |
| West Virginia | $170 |
| Wisconsin | $168 |
| Wyoming | $175 |
Questions
How much does specialist consultation cost?
Medicare's 2026 national price for specialist consultation is $177 at office or clinic. Prices vary by area; private insurance usually pays more.
Is this what I will pay?
These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.