go back

Michigan 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 $39 · 10th–90th $36–$890%50%10th90th$39Professionalmedian $39 · 10th–90th $30–$710%10%10th90th$39$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
$36.31 / $38.90 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $48.98 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $43.65 / $104.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $40.74 / $89.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $39.81 / $70.79
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $31.62 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $41.69 / $63.10