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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 October 2026.

How much does Phone Consultation With A Non-Physician Health Provider cost?

$15.14

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $16.22 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$13.18 to $17.38
FacilityA hospital or hospital-owned outpatient department$16.22$14.13 to $18.62

How much rates vary

Facilitymedian $16 · 10th to 90th $14 to $19Professionalmedian $15 · 10th to 90th $12 to $18
$10$20facility $16professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$14.13
Median
$14.13
Typical High
$16.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$14.13
Typical High
$16.22
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$17.78
Typical High
$19.50
Molina
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$19.95
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$18.62
Typical High
$25.70
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$15.14
Typical High
$17.38
Select Health
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Select Health
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$12.59
Typical High
$13.49
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$18.62
Typical High
$33.88
United
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$13.18
Typical High
$20.42

Where Utah sits

The same service costs 3.2 times more in Alaska than in New York. 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· 21st of 51

$15.14

AK $30.90NY $9.77

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.