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Maryland 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 $32 · 10th–90th $27–$390%20%40%10th90th$32Professionalmedian $36 · 10th–90th $28–$660%20%10th90th$36$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $66.07
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.92 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $41.69 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $46.77 / $52.48