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Phone Consultation With A Non-Physician Health Provider

Massachusetts 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.

Facilitymedian $13 · 10th–90th $6$300%10%20%10th90th$13Professionalmedian $15 · 10th–90th $11$350%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
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.18
Typical High
$33.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$15.14
Typical High
$169.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$30.20
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$21.38
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$35.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$12.30
Typical High
$16.60
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$14.79
Typical High
$17.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$20.89
Typical High
$34.67
Health New England
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Health New England
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$23.44
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$15.14
Typical High
$169.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.62
Typical High
$37.15