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Phone Consultation With A Non-Physician Health Provider

Maryland 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?

$12.30

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $12.30 for this service. Most negotiated rates run $10.72 to $18.20.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $12 · 10th to 90th $10 to $20
$10$20professional $12

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
Professional
Modifier
None
Typical Low
$10.00
Median
$12.02
Typical High
$12.30
CareFirst
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$25.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$13.49
Typical High
$19.50
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$14.45
Typical High
$21.38
United
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$12.02
Typical High
$21.38
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$20.42
Typical High
$21.88

Where Maryland 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.

Maryland· 48th of 51

$12.30

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.