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South Carolina 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 $30 · 10th–90th $22–$480%10%10th90th$30Professionalmedian $26 · 10th–90th $21–$490%10%20%10th90th$26$10.0$20.0$50.0$100.0

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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $16.60 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $45.71 / $70.79
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 / $30.90 / $56.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $47.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $40.74