Click the button below, then follow the steps to create an account. A one-time credit card payment of $1,500 is required. Please note, this service is not typically covered by insurance.
Online Second Opinions
Get a written second opinion report from a Duke Health specialist in the comfort of your home. Before you get started, please know:
- The cost is $1500
- Insurance is not accepted
As one of the top hospitals in the country, our specialists are nationally recognized for their knowledge and expertise in the latest diagnostic and treatment advances. A Duke Health second opinion prepares you to make informed decisions about your care.
We provide written, online second opinions for nearly every health concern in children and adults, including all types of cancer, organ transplants, heart disease, total joint replacement, and other orthopaedic conditions.
Avoid the hassle and inconvenience of traveling far from home for an expert second opinion. Learn more about our online second opinion platform and process below.
Consistently Ranked Among the Nation’s Best Hospitals
Duke University Hospital is proud of our team and the exceptional care they provide. They are why we are once again recognized as the best hospital in North Carolina, and nationally ranked in 11 adult and 10 pediatric specialties by U.S. News & World Report for 2024–2025.
The Details
Why Seek an Online Second Opinion?
A second opinion can confirm a diagnosis, offer a different diagnosis, provide information about the most advanced treatments available, and ensure confidence in your decisions when faced with a serious medical condition.
How Duke Health's Online Second Opinion Works
Duke Health offers online second opinions through PinnacleCare, a confidential health care advisor service. After registering and submitting your information through our secure, confidential platform, a PinnacleCare advisor will identify and coordinate your second opinion consultation with a Duke Health doctor who specializes in your medical concern. The Duke Health doctor will carefully review your medical records, test results, and health history. You will receive a written, comprehensive report within 10 to 14 business days of sending all the necessary medical records.
- View sample Duke Health online second opinion written report (PDF, 282 KB).
- Read frequently asked questions about the online second opinion process.
Cost and Availability
The cost for a Duke Health online second opinion report is $1,500 and is typically not covered by insurance. It is available to people living in all U.S. states except Tennessee and Michigan.
If You Live in North Carolina
We encourage you to come to one of our clinics for an in-person visit with our specialists. Use our Find a Doctor tool to find the right specialist for your needs.
How to Get Started
Getting started with your online second opinion is simple. Here is a rundown of the steps you'll take to start the process and receive your comprehensive treatment and care plan.
Step 1 - Create an Account
Step 2 - Request a Second Opinion from a Duke Doctor
Follow the steps to make your request.
Step 3 - Submit Your Medical Records
Collect your records ahead of time so you'll be prepared to submit them. Advisors can help gather your records and answer questions.
Step 4 - Receive Your Written Second Opinion
You will receive a comprehensive written opinion from a Duke Health specialist within 10 to 14 business days of receiving all the necessary records. It will include a recommended treatment and care plan. View sample Duke Health online second opinion written report (PDF, 282 KB).
Step 5 - Discuss Your Results
You can request to speak to a PinnacleCare advisor about your results. Your treating doctor will also receive a copy of your results. After reviewing the report, you may decide to proceed with local care or make an appointment with a Duke Health doctor for your care.