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Tennessee 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 $295 · 10th–90th $26–$2950%50%10th$295Professionalmedian $26 · 10th–90th $21–$500%10%10th90th$26$0.5$2.0$10.0$50.0$200.0

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
$47.86 / $47.86 / $51.29
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 / $21.38 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.20 / $48.98
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
$23.44 / $30.90 / $56.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $20.42 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $46.77