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Phone Check-In With Care Provider, Moderate Length

Kentucky 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?

$26.30

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $24.55 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$26.30$22.91 to $30.90
FacilityA hospital or hospital-owned outpatient department$24.55$22.39 to $34.67

How much rates vary

Facilitymedian $25 · 10th to 90th $22 to $35Professionalmedian $26 · 10th to 90th $21 to $37
$1.0$2.0$5.0$10.0$20.0$50.0$100.0facility $25professional $26

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
$22.39
Median
$22.39
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$40.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.91
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.90
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$24.55
Typical High
$31.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$33.88
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$46.77

Where Kentucky 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.

Kentucky $26.30 · 29th 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.