go back

Phone Consultation With A Non-Physician Health Provider

Wisconsin 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 $14 · 10th–90th $11$300%10%10th90th$14Professionalmedian $19 · 10th–90th $11$540%10%10th90th$19$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
$12.02
Median
$14.45
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.88
Typical High
$33.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.05
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$28.84
Typical High
$39.81
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$26.92
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.30
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$28.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$20.89
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$33.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.45
Typical High
$26.92
Quartz
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$26.30
Typical High
$39.81
Quartz
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$169.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$69.18
Typical High
$199.53
Security Health
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$15.49
Security Health
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.91
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$38.02
Typical High
$87.10