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Phone Consultation With A Non-Physician Health Provider

South Dakota 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?

$21.88

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $21.88 for this service. Most negotiated rates run $15.85 to $26.30.

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.

How much rates vary

Facilitymedian $19 · 10th to 90th $13 to $31Professionalmedian $22 · 10th to 90th $13 to $30
$10$20$50$100$200facility $19professional $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
$12.88
Median
$12.88
Typical High
$14.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.18
Typical High
$14.79
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$25.70
Typical High
$29.51
Medica
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$19.50
Typical High
$30.90
Medica
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$25.12
Typical High
$199.53
Midlands
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$26.92
Midlands
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$23.99
Typical High
$30.90
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$16.98
Typical High
$25.70
United
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$18.62
Typical High
$29.51
Wellmark
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$18.62
Typical High
$24.55

Where South Dakota 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.

South Dakota· 5th of 51

$21.88

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.