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Phone Consultation With A Non-Physician Health Provider

Michigan 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?

$14.45

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $14.45 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$13.18 to $15.49
FacilityA hospital or hospital-owned outpatient department$14.45$11.48 to $23.44

How much rates vary

Facilitymedian $14 · 10th to 90th $9 to $37Professionalmedian $14 · 10th to 90th $13 to $17
$10$20$50facility $14professional $14

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
Facility
Modifier
None
Typical Low
$12.88
Median
$13.80
Typical High
$15.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$13.80
Typical High
$15.14
Ambetter
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$13.18
Typical High
$19.95
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$6.61
Median
$13.49
Typical High
$27.54
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.45
Typical High
$15.85
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$14.79
Typical High
$33.88
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$28.18
Typical High
$41.69
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$15.49
Typical High
$18.62
Priority Health
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$13.80
Typical High
$26.30
United
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$10.23
Typical High
$11.48
United
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.45
Typical High
$16.60

Where Michigan 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.

Michigan· 27th of 51

$14.45

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.