go back

Missouri rates for HCPCS 98966

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $16 · 10th–90th $11–$320%10%10th90th$16Professionalmedian $14 · 10th–90th $10–$280%10%10th90th$14$0.5$2.0$10.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $29.51
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $31.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.38 / $199.53
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.79 / $23.99