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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 July 2026.

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

$15.49

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.49 from a physician practice, and about $18.20 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$15.49$12.59 to $22.39
FacilityA hospital or hospital-owned outpatient department$18.20$12.88 to $26.92

How much rates vary

Facilitymedian $18 · 10th to 90th $11 to $49Professionalmedian $15 · 10th to 90th $11 to $26
$10$20$50facility $18professional $15

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
$12.88
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.91
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$30.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$20.89
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.12
Typical High
$32.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.39
Typical High
$30.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.05
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.20
Typical High
$31.62
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.62
Typical High
$24.55

Where South Dakota 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 Dakota· 11th of 51

$15.49

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.