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Phone Consultation With A Non-Physician Health Provider

Virginia 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?

$13.49

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $14.79 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$12.02 to $15.49
FacilityA hospital or hospital-owned outpatient department$14.79$12.59 to $18.62

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $47Professionalmedian $13 · 10th to 90th $10 to $20
$10$100$1K$10Kfacility $15professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$12.30
Typical High
$14.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$13.49
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$12.02
Typical High
$19.95
CareFirst
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$13.49
Typical High
$19.50
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$15.14
Typical High
$19.95
Medcost
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$17.78
Typical High
$19.95
Medcost
Setting
Facility
Modifier
None
Typical Low
$10.23
Median
$17.78
Typical High
$19.95
Medcost
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$15.14
Sentara
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$15.14
Typical High
$70.79
Sentara
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$15.14
Typical High
$19.50
United
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$12.02
Typical High
$19.05

Where Virginia 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.

Virginia· 31st of 51

$13.49

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.