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Montana 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 $25 · 10th–90th $13–$980%5%10%10th90th$25Professionalmedian $14 · 10th–90th $11–$380%10%10th90th$14$10.0$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $52.48 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.78 / $31.62
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $63.10 / $100.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $63.10 / $100.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $16.98 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.12 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $25.70