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North Carolina 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 $15 · 10th–90th $11–$260%10%10th90th$15Professionalmedian $13 · 10th–90th $10–$400%10%20%10th90th$13$0.2$1.0$5.0$20.0$100.0

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
$10.96 / $26.30 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $28.18
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.00 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $39.81
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
$12.88 / $18.20 / $35.48
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $25.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $25.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $34.67
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.13 / $23.99
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53