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Phone Consultation With A Non-Physician Health Provider

Missouri 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?

$15.85

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $19.95 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$15.85$12.88 to $19.05
FacilityA hospital or hospital-owned outpatient department$19.95$13.49 to $46.77

How much rates vary

Facilitymedian $20 · 10th to 90th $11 to $138Professionalmedian $16 · 10th to 90th $12 to $41
$10$20$50$100$200facility $20professional $16

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
$11.75
Median
$13.80
Typical High
$16.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.18
Typical High
$16.22
Ambetter
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.72
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$15.85
Typical High
$24.55
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$14.13
Typical High
$19.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$14.45
Typical High
$25.70
Medica
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$20.42
Typical High
$138.04
Medica
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$33.88
Typical High
$199.53
United
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.49
Typical High
$21.88

Where Missouri 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.

Missouri· 19th of 51

$15.85

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.