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Phone Consultation With A Non-Physician Health Provider

Connecticut 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 physician fee. In Connecticut, October 2026.

Insurers have agreed to pay about $16.22 for this service. Most negotiated rates run $12.59 to $19.05.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $49 · 10th to 90th $45 to $52Professionalmedian $16 · 10th to 90th $11 to $26
$10$20$50facility $49professional $16

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$17.38
Typical High
$19.05
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$14.13
Typical High
$23.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$48.98
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$16.60
Typical High
$28.18
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$19.50
Typical High
$22.39
Health New England
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$16.60
Typical High
$32.36

Where Connecticut 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.

Connecticut· 18th 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.