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Team Care Conference Without Patient Present

Pennsylvania rates for HCPCS 99368

A scheduled meeting in which professionals from different fields discuss one patient's care together, held without the patient or family present. This covers the time of a participating team member who is not a physician — for example a nurse, therapist, dietitian or social worker. It is a planned working discussion of the care plan rather than a brief corridor conversation.

Rates data updated July 2026.

How much does Team Care Conference Without Patient Present cost?

$30.90

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $47.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.90$28.84 to $35.48
FacilityA hospital or hospital-owned outpatient department$47.86$28.18 to $102

How much rates vary

Facilitymedian $48 · 10th to 90th $28 to $148Professionalmedian $31 · 10th to 90th $28 to $40
$100$1K$10Kfacility $48professional $31

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.20
Typical High
$38.90
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$58.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$42.66
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$31.62
Typical High
$46.77
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$69.18

Where Pennsylvania sits

The same service costs 2.2 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 37th of 51

$30.90

MN $64.57DE $28.84

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.