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Phone Consultation With A Non-Physician Health Provider

Texas 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 $15 · 10th–90th $11$280%10%10th90th$15Professionalmedian $13 · 10th–90th $10$190%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
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$11.75
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.88
Typical High
$17.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.30
Typical High
$18.62
Christus
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.85
Typical High
$28.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$26.92
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$21.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$26.92
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$16.60
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.72
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$21.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$18.62