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Phone Consultation With A Non-Physician Health Provider

South Carolina 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?

$13.18

Typical negotiated rate. In South Carolina, July 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 $15.49 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$12.88$11.75 to $14.79
FacilityA hospital or hospital-owned outpatient department$15.49$12.88 to $19.50

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $25Professionalmedian $13 · 10th to 90th $11 to $20
$10$20$50facility $15professional $13

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
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.88
Typical High
$18.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.55
Typical High
$10.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.22
Typical High
$30.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$19.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$15.49
Typical High
$25.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$21.38

Where South Carolina 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.

South Carolina· 33rd of 51

$13.18

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.