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Phone Consultation With A Non-Physician Health Provider

North Carolina 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 July 2026.

How much does Phone Consultation With A Non-Physician Health Provider cost?

$13.49

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $14.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$11.75 to $19.95
FacilityA hospital or hospital-owned outpatient department$14.79$12.88 to $19.05

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $26Professionalmedian $13 · 10th to 90th $10 to $40
$10$20$50facility $15professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$22.39
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.13
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.13
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.20
Typical High
$33.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$25.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$14.79
Typical High
$25.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$34.67
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$15.85
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$23.99
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53

Where North Carolina sits

The same service costs 2.0 times more in Minnesota than in Washington, DC. 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.

North Carolina· 30th of 51

$13.49

MN $25.12DC $12.59

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.