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California 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 $13 · 10th–90th $0–$240%10%20%10th90th$13Professionalmedian $14 · 10th–90th $11–$350%20%10th90th$14$0.5$2.0$10.0$50.0$200.0$1.0K

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
$12.02 / $64.57 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.48 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $0.43 / $0.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $13.49 / $28.84
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $17.38 / $34.67
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.22 / $21.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $22.91
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $32.36 / $724.44
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $21.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.85 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.50 / $34.67
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $14.13 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $25.70