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Phone Check-In With Care Provider, Moderate Length

Massachusetts 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?

$28.84

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $25.70 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 9 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$28.84$23.44 to $44.67
FacilityA hospital or hospital-owned outpatient department$25.70$20.89 to $29.51

How much rates vary

Facilitymedian $26 · 10th to 90th $13 to $60Professionalmedian $29 · 10th to 90th $21 to $65
$5.0$10.0$20.0$50.0$100.0$200.0facility $26professional $29

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
$23.99
Median
$25.70
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$63.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$295.12
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$58.88
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$40.74
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$67.61
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$22.39
Typical High
$30.20
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$28.18
Typical High
$33.11
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$64.57
Health New England
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$33.11
Typical High
$67.61
Health New England
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.90
Typical High
$79.43
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$295.12
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$20.89
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$35.48
Typical High
$69.18

Where Massachusetts 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.

Massachusetts $28.84 · 14th 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.