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Phone Consultation With A Non-Physician Health Provider

Iowa 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?

$19.95

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $23.99 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$19.95$15.49 to $26.30
FacilityA hospital or hospital-owned outpatient department$23.99$16.60 to $26.30

How much rates vary

Facilitymedian $24 · 10th to 90th $13 to $32Professionalmedian $20 · 10th to 90th $13 to $33
$10$20$50$100$200facility $24professional $20

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
$14.45
Median
$14.45
Typical High
$16.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.45
Typical High
$16.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$26.30
Typical High
$29.51
Hally Health
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$14.79
Typical High
$39.81
Medica
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$25.12
Typical High
$32.36
Medica
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$25.12
Typical High
$199.53
Midlands
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$23.44
Typical High
$26.30
Midlands
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$24.55
Typical High
$33.88
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$12.02
Typical High
$13.49
United
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$17.78
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$18.62
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$17.78
Typical High
$23.44

Where Iowa 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.

Iowa· 8th of 51

$19.95

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.