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Phone Consultation With A Non-Physician Health Provider

Florida 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?

$10.96

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $19.50 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.96$10.00 to $13.49
FacilityA hospital or hospital-owned outpatient department$19.50$19.50 to $19.50

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $20Professionalmedian $11 · 10th to 90th $9 to $16
$10$20$50facility $19professional $11

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
$10.00
Median
$10.96
Typical High
$12.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.96
Typical High
$14.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$11.22
AvMed
Setting
Facility
Modifier
None
Typical Low
$10.47
Median
$11.22
Typical High
$14.45
AvMed
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$11.22
Typical High
$14.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$9.33
Typical High
$17.38
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$20.42
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$12.30
Typical High
$15.49
Molina
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$39.81
Typical High
$39.81
United
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$11.75
Typical High
$33.88
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$13.49
Typical High
$13.80

Where Florida 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.

Florida· 50th of 51

$10.96

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.