go back

Phone Consultation With A Non-Physician Health Provider

New Mexico 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?

$12.59

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $16.60 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 7 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$12.30$10.72 to $15.14
FacilityA hospital or hospital-owned outpatient department$16.60$13.49 to $21.88

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $32Professionalmedian $12 · 10th to 90th $9 to $22
$10$20$50$100facility $17professional $12

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
$12.59
Median
$20.42
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$22.39
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.72
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$25.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$26.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$20.89
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$26.92

Where New Mexico 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.

New Mexico· 50th of 51

$12.59

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.