go back

Phone Check-In With Care Provider, Moderate Length

Virginia 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?

$26.92

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $29.51 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 8 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$26.92$22.91 to $33.11
FacilityA hospital or hospital-owned outpatient department$29.51$24.55 to $36.31

How much rates vary

Facilitymedian $30 · 10th to 90th $22 to $47Professionalmedian $27 · 10th to 90th $21 to $44
$1.0$10.0$100.0$1.0Kfacility $30professional $27

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
$20.42
Median
$22.39
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$24.55
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$51.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.89
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$50.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$43.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$30.20
Typical High
$47.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$28.84
Typical High
$43.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$19.95
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$27.54
Typical High
$46.77

Where Virginia 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.

Virginia $26.92 · 25th 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.