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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 October 2026.

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

$14.45

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $28.84 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$12.88 to $25.70
FacilityA hospital or hospital-owned outpatient department$28.84$14.79 to $79.43

How much rates vary

Facilitymedian $29 · 10th to 90th $13 to $324Professionalmedian $14 · 10th to 90th $11 to $44
$10$20$50$100$200$500facility $29professional $14

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
$10.96
Median
$12.88
Typical High
$24.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$12.88
Typical High
$16.60
Ambetter
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$13.80
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$34.67
Typical High
$346.74
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$14.13
Typical High
$21.88
Hally Health
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$16.98
Typical High
$39.81
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.45
Typical High
$17.38
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$16.98
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$14.45
Typical High
$25.70

Where Illinois 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.

Illinois· 28th of 51

$14.45

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.