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Phone Consultation With A Non-Physician Health Provider

Indiana 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?

$13.49

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $28.18 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$13.49$12.02 to $15.85
FacilityA hospital or hospital-owned outpatient department$28.18$12.59 to $37.15

How much rates vary

Facilitymedian $28 · 10th to 90th $11 to $955Professionalmedian $13 · 10th to 90th $11 to $17
$10$50$200$1Kfacility $28professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$11.22
Typical High
$12.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$12.59
Typical High
$13.49
Ambetter
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$14.45
Typical High
$14.45
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$13.49
Typical High
$15.85
CareSource
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$12.02
CareSource
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.80
Typical High
$20.89
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$32.36
Typical High
$2,089.30
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$14.13
Typical High
$21.38
United
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$13.49
Typical High
$19.95

Where Indiana 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.

Indiana· 32nd of 51

$13.49

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.