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Phone Consultation With A Non-Physician Health Provider

Colorado rates for HCPCS 98966

This service covers a phone conversation between a patient and a qualified healthcare professional who is not a physician, to discuss a health concern for an existing patient. The call involves real medical discussion rather than simply scheduling or administrative matters, and covers a shorter portion of time.

Rates data updated October 2026.

How much does Phone Consultation With A Non-Physician Health Provider cost?

$16.22

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $16.98 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.22$13.80 to $19.50
FacilityA hospital or hospital-owned outpatient department$16.98$14.45 to $20.42

How much rates vary

Facilitymedian $17 · 10th to 90th $13 to $24Professionalmedian $16 · 10th to 90th $13 to $25
$10$20facility $17professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$14.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.18
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$17.78
Typical High
$26.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$16.98
Typical High
$23.99
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$17.38
Typical High
$23.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$16.98
Typical High
$24.55
Select Health
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$20.89
Typical High
$29.51
Select Health
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$13.49
Typical High
$17.78
United
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$15.85
Typical High
$23.44
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
HO · Master's level
Typical Low
$7.94
Median
$10.47
Typical High
$13.49

Where Colorado sits

The same service costs 3.2 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 17th of 51

$16.22

AK $30.90NY $9.77

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.