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Massachusetts rates for HCPCS 98966

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $13 · 10th–90th $6–$320%10%10th90th$13Professionalmedian $15 · 10th–90th $11–$340%10%10th90th$15$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $33.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $15.14 / $169.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $30.20 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $36.31
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $12.30 / $16.60
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.79 / $17.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $21.38 / $34.67
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $23.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $15.14 / $169.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.78 / $36.31