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Texas 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 $15 · 10th–90th $11–$280%10%10th90th$15Professionalmedian $13 · 10th–90th $10–$200%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
$10.00 / $10.96 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $11.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $12.59 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.30 / $18.62
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $13.49
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
$12.30 / $15.85 / $28.18
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $26.92
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $23.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $21.38 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $26.92
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $12.88 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $21.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $16.60