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Massachusetts rates for HCPCS 98968

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; 21-30 minutes of medical discussion

Facilitymedian $37 · 10th–90th $18–$890%10%20%10th90th$37Professionalmedian $42 · 10th–90th $30–$910%10%10th90th$42$10.0$20.0$50.0$100.0$200.0$500.0

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
$36.31 / $38.02 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $93.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $436.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $45.71 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $81.28 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $97.72
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $31.62 / $42.66
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.90 / $46.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $58.88 / $91.20
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $48.98 / $100.00
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $117.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $436.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $45.71 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $95.50