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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.

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

$14.79

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $13.49 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 9 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$15.14$12.59 to $23.44
FacilityA hospital or hospital-owned outpatient department$13.49$10.72 to $15.49

How much rates vary

Facilitymedian $13 · 10th to 90th $6 to $30Professionalmedian $15 · 10th to 90th $11 to $35
$5$10$20$50$100facility $13professional $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
$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

Where Massachusetts 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.

Massachusetts· 17th of 51

$14.79

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.