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Pennsylvania rates for HCPCS 98967

Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion

Facilitymedian $23 · 10th–90th $21–$300%50%10th90th$23Professionalmedian $26 · 10th–90th $21–$580%20%10th90th$26$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.50 / $34.67
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $56.23
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $50.12
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $46.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.30 / $26.92
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $22.91
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $53.70
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.39 / $27.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $46.77 / $58.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $23.44 / $30.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $22.39 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $21.88 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $47.86