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Phone Consultation With A Non-Physician Health Provider

New Jersey 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.

Facilitymedian $15 · 10th–90th $13$250%20%40%10th90th$15Professionalmedian $13 · 10th–90th $10$220%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
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$14.79
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$17.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$32.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.05
Typical High
$28.84
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.22
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$27.54