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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.

Facilitymedian $18 · 10th–90th $11$490%10%10th90th$18Professionalmedian $15 · 10th–90th $11$260%10%10th90th$15$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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