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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 July 2026.

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

$13.49

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $15.14 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 8 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$13.18$11.48 to $15.14
FacilityA hospital or hospital-owned outpatient department$15.14$12.88 to $19.05

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $25Professionalmedian $13 · 10th to 90th $10 to $20
$0.1$1$10facility $15professional $13

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.88
Typical High
$17.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$10.00
Typical High
$16.98
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$27.54
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
$16.22
Typical High
$26.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.14
Typical High
$23.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$15.49
Typical High
$24.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$23.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$10.23
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$25.12

Where Virginia 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.

Virginia· 28th of 51

$13.49

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.