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Illinois rates for HCPCS 98967

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion

Facilitymedian $40 · 10th–90th $20–$440%50%10th90th$40Professionalmedian $31 · 10th–90th $21–$550%10%20%10th90th$31$0.5$2.0$10.0$50.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $39.81 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $48.98 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $34.67 / $56.23
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $28.18 / $32.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $47.86