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New Jersey 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 $22 · 10th–90th $13–$250%50%10th90th$22Professionalmedian $13 · 10th–90th $10–$250%10%20%10th90th$13$5.0$10.0$20.0$50.0$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
$12.88 / $22.39 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $13.49
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
$11.48 / $17.38 / $32.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $28.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.59 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $26.30