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Phone Check-In With Care Provider, Moderate Length

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $28.18 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 8 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$25.70$22.39 to $36.31
FacilityA hospital or hospital-owned outpatient department$28.18$23.44 to $37.15

How much rates vary

Facilitymedian $28 · 10th to 90th $22 to $50Professionalmedian $26 · 10th to 90th $19 to $52
$1.0$10.0$100.0facility $28professional $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
$21.88
Median
$23.44
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.98
Typical High
$30.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$26.30
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$63.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$28.18
Typical High
$48.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$67.61
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$24.55
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$30.20
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$45.71
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74

Where North Carolina 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.

North Carolina $26.30 · 32nd 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.