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Phone Consultation With A Non-Physician Health Provider

Ohio 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?

$13.49

Typical physician fee. In Ohio, October 2026.

Insurers have agreed to pay about $13.49 for this service. Most negotiated rates run $11.75 to $15.85.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $37 · 10th to 90th $11 to $43Professionalmedian $13 · 10th to 90th $11 to $20
$10$20$50facility $37professional $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
$12.59
Median
$37.15
Typical High
$45.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$12.59
Typical High
$16.22
Ambetter
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$15.85
Typical High
$20.89
CareSource
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$13.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$13.80
Typical High
$20.89
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$13.80
Typical High
$20.42
Optum
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$12.59
Typical High
$12.59
SummaCare
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$12.59
Typical High
$16.22
United
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$9.33
Typical High
$11.48
United
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$12.02
Typical High
$19.95

Where Ohio 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.

Ohio· 34th of 51

$13.49

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.