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Phone Check-In With Care Provider, Moderate Length

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $31.62 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 7 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$26.30$23.44 to $40.74
FacilityA hospital or hospital-owned outpatient department$31.62$23.44 to $45.71

How much rates vary

Facilitymedian $32 · 10th to 90th $21 to $56Professionalmedian $26 · 10th to 90th $21 to $51
$5.0$10.0$20.0$50.0$100.0$200.0facility $32professional $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
$25.70
Median
$25.70
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$44.67
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$33.11
Typical High
$56.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$39.81
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$50.12
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$60.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$37.15
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$34.67
Typical High
$53.70
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$44.67

Where South Dakota 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.

South Dakota $26.30 · 30th 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.