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Phone Consultation With A Non-Physician Health Provider

Oregon 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?

$19.50

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $21.38 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 8 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$19.05$13.18 to $26.92
FacilityA hospital or hospital-owned outpatient department$21.38$15.49 to $26.30

How much rates vary

Facilitymedian $21 · 10th to 90th $12 to $30Professionalmedian $19 · 10th to 90th $11 to $34
$10$20$50facility $21professional $19

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
$27.54
Median
$54.95
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$24.55
Typical High
$36.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.12
Typical High
$33.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.98
Typical High
$28.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$24.55
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$26.30
Typical High
$26.92
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$28.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$70.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$44.67
Typical High
$69.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$23.44
Typical High
$35.48

Where Oregon 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.

Oregon· 2nd of 51

$19.50

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.