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Phone Consultation With A Non-Physician Health Provider

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $14.79 for this service. Most negotiated rates run $12.59 to $20.89.

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

Facilitymedian $13 · 10th to 90th $13 to $15Professionalmedian $15 · 10th to 90th $11 to $31
$10$20$50facility $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. 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
Global
Typical Low
$13.49
Median
$13.49
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$16.22
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.60
Typical High
$31.62
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$20.42
Typical High
$36.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.49
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$31.62

Where Maine 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.

Maine· 15th 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.