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Colorado 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 $14 · 10th–90th $13–$230%20%10th90th$14Professionalmedian $14 · 10th–90th $10–$260%10%10th90th$14$0.5$2.0$10.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $30.90
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.49 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.62 / $28.18