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Phone Consultation With A Non-Physician Health Provider

Georgia 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 July 2026.

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

$13.80

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $13.80 for this service. Most negotiated rates run $12.30 to $17.38.

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.

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $17Professionalmedian $14 · 10th to 90th $11 to $24
$10$20$50facility $14professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.49
Typical High
$22.39
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.72
Typical High
$20.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.45
Typical High
$24.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.78
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$31.62
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.59
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$15.14
Typical High
$26.30

Where Georgia sits

The same service costs 2.0 times more in Minnesota than in Washington, DC. 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.

Georgia· 24th of 51

$13.80

MN $25.12DC $12.59

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.