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Phone Consultation With A Non-Physician Health Provider

Utah 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?

$14.13

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $14.13 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$14.13$12.30 to $17.38
FacilityA hospital or hospital-owned outpatient department$14.13$14.13 to $16.22

How much rates vary

Facilitymedian $14 · 10th to 90th $14 to $16Professionalmedian $14 · 10th to 90th $11 to $30
$10$20$50facility $14professional $14

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.13
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$28.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$20.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$20.42
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$22.39

Where Utah 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.

Utah· 20th of 51

$14.13

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.