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Phone Check-In With Care Provider, Moderate Length

New Jersey 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?

$25.12

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 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 6 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$25.12$22.39 to $29.51
FacilityA hospital or hospital-owned outpatient department$28.18$26.92 to $44.67

How much rates vary

Facilitymedian $28 · 10th to 90th $27 to $47Professionalmedian $25 · 10th to 90th $20 to $42
$5.0$10.0$20.0$50.0$100.0$200.0facility $28professional $25

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
$26.92
Median
$28.18
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.11
Typical High
$60.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$48.98
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.89
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$27.54
Typical High
$51.29

Where New Jersey 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.

New Jersey $25.12 · 41st 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.