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Nationwide rates for HCPCS 98966

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $16 · 10th–90th $10–$300%20%40%10th90th$16Professionalmedian $14 · 10th–90th $10–$300%50%10th90th$14$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $19.95 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $26.30
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.43 / $1.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $15.14 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $17.78 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $11.48 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $30.90

See more rates by state

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