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Phone Consultation With A Non-Physician Health Provider

Montana 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?

$17.78

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $19.05 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$15.14 to $20.89
FacilityA hospital or hospital-owned outpatient department$19.05$17.78 to $23.44

How much rates vary

Facilitymedian $19 · 10th to 90th $17 to $26Professionalmedian $18 · 10th to 90th $12 to $38
$10$20$50facility $19professional $18

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
Professional
Modifier
None
Typical Low
$10.96
Median
$13.18
Typical High
$18.20
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$52.48
Typical High
$61.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$24.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$17.78
Typical High
$20.42
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$19.05
Typical High
$25.70
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$19.05
Typical High
$25.12
Providence
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$24.55
Providence
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$17.38
Typical High
$26.92
United
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$21.38
Typical High
$25.12

Where Montana 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.

Montana· 11th of 51

$17.78

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.