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Wisconsin 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 $28 · 10th–90th $22–$690%10%20%10th90th$28Professionalmedian $28 · 10th–90th $21–$650%10%10th90th$28$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
$22.91 / $74.13 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $75.86 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $54.95 / $75.86
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $51.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $54.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $39.81 / $346.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $38.02 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $48.98 / $75.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $95.50 / $346.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $28.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $35.48 / $79.43