go back

Phone Check-In With Care Provider, Moderate Length

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $28.84 for this service. Most negotiated rates run $24.55 to $40.74.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $27 · 10th to 90th $27 to $28Professionalmedian $29 · 10th to 90th $22 to $59
$10.0$20.0$50.0$100.0facility $27professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.70
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$33.11
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$58.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$38.90
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$58.88

Where Maine 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.

Maine $28.84 · 15th 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.