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Washington 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 $35 · 10th–90th $22–$600%10%10th90th$35Professionalmedian $31 · 10th–90th $21–$650%10%10th90th$31$5.0$10.0$20.0$50.0$100.0$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
$38.90 / $53.70 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $27.54 / $69.18
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $42.66 / $60.26
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
$24.55 / $39.81 / $74.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $33.88 / $56.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $32.36 / $53.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $47.86 / $52.48
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $81.28
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $64.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $36.31 / $57.54
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $27.54 / $36.31