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Phone Consultation With A Non-Physician Health Provider

West 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?

$12.59

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $17.78 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.59$11.22 to $14.13
FacilityA hospital or hospital-owned outpatient department$17.78$8.32 to $64.57

How much rates vary

Facilitymedian $18 · 10th to 90th $8 to $65Professionalmedian $13 · 10th to 90th $10 to $20
$10$20$50facility $18professional $13

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
Professional
Modifier
None
Typical Low
$11.22
Median
$12.59
Typical High
$12.88
CareSource
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$12.88
Typical High
$66.07
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
United
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$12.02
Typical High
$18.20

Where West 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.

West Virginia· 46th of 51

$12.59

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.