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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 October 2026.

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

$22.39

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $26.30 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$17.38 to $26.30
FacilityA hospital or hospital-owned outpatient department$26.30$19.95 to $28.18

How much rates vary

Facilitymedian $26 · 10th to 90th $16 to $36Professionalmedian $22 · 10th to 90th $16 to $36
$20$50facility $26professional $22

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
$19.50
Median
$19.50
Typical High
$21.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$15.85
Typical High
$17.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$21.88
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$26.30
Typical High
$34.67
Moda Health
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$24.55
Typical High
$36.31
Moda Health
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$17.38
Typical High
$26.92
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$25.70
Typical High
$26.92
Providence
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$26.30
Typical High
$35.48
Providence
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$25.12
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$36.31
Typical High
$53.70
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$23.99
Typical High
$26.30
United
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$16.60
United
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$23.44
Typical High
$36.31

Where Oregon 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.

Oregon· 3rd of 51

$22.39

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.