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Phone Consultation With A Non-Physician Health Provider

Illinois 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?

$15.49

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $21.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.49$12.59 to $41.69
FacilityA hospital or hospital-owned outpatient department$21.88$19.95 to $21.88

How much rates vary

Facilitymedian $22 · 10th to 90th $20 to $25Professionalmedian $15 · 10th to 90th $11 to $44
$10$20$50$100facility $22professional $15

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
$19.95
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.48
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.12
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.20
Typical High
$29.51
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$21.88
Typical High
$46.77
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$17.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$35.48

Where Illinois 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.

Illinois· 13th of 51

$15.49

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.