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Tennessee rates for HCPCS 98966

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $170 · 10th–90th $14–$1700%50%10th$170Professionalmedian $13 · 10th–90th $10–$250%10%10th90th$13$0.2$1.0$5.0$20.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.23 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $16.22 / $29.51
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $23.99