go back

Washington, DC 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 $10 · 10th–90th $10–$110%20%40%90th$10Professionalmedian $13 · 10th–90th $10–$260%10%20%10th90th$13$10.0$20.0$50.0$100.0

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 / $25.70
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.60 / $41.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.13 / $27.54