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Phone Check-In With Care Provider, Moderate Length

Illinois rates for HCPCS 98967

This is a telephone conversation between an established patient and a qualified healthcare professional, other than a physician, lasting a moderate amount of time, used to address a health concern that does not require an in-person visit. It is billed based on the total time spent on the call.

Rates data updated July 2026.

How much does Phone Check-In With Care Provider, Moderate Length cost?

$29.51

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $41.69 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 7 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$29.51$23.44 to $43.65
FacilityA hospital or hospital-owned outpatient department$41.69$39.81 to $43.65

How much rates vary

Facilitymedian $42 · 10th to 90th $40 to $44Professionalmedian $30 · 10th to 90th $22 to $44
$1.0$10.0$100.0facility $42professional $30

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
$39.81
Median
$41.69
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.95
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$48.98
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$56.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$41.69
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$21.88
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$30.90
Typical High
$52.48

Where Illinois sits

The same service costs 2.1 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $29.51 · 13th of 51
MN $48.98DC $23.44

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.