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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 October 2026.

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

$13.18

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $81.28 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$10.72 to $17.78
FacilityA hospital or hospital-owned outpatient department$81.28$28.18 to $115

How much rates vary

Facilitymedian $81 · 10th to 90th $10 to $151Professionalmedian $13 · 10th to 90th $8 to $22
$10$20$50$100facility $81professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$10.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$13.49
Typical High
$15.14
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$10.72
Typical High
$13.49
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$95.50
Typical High
$154.88
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$10.72
Typical High
$13.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$16.60
Typical High
$21.88
Molina
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$13.49
Typical High
$17.78
Providence
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$16.60
Typical High
$23.44
United
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$18.20
Typical High
$22.39

Where New Mexico sits

The same service costs 3.2 times more in Alaska than in New York. 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· 37th of 51

$13.18

AK $30.90NY $9.77

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.