go back

Longer Telephone Consultation

Massachusetts rates for HCPCS 99443

An extended telephone consultation with your own clinician about a medical problem, where the problem is discussed in detail, advice is given and a plan is agreed without an in-person visit. It applies when the call is not a follow-up to a recent visit for the same problem and does not lead straight to an appointment. The length of the call determines which version applies.

Rates data updated July 2026.

How much does Longer Telephone Consultation cost?

$229

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $603 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 6 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$219$151 to $794
FacilityA hospital or hospital-owned outpatient department$603$603 to $603

How much rates vary

Facilitymedian $603 · 10th to 90th $145 to $603Professionalmedian $219 · 10th to 90th $45 to $794
$50.0$100.0$200.0$500.0facility $603professional $219

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$616.60
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$58.88
Typical High
$123.03
Health New England
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$169.82
Typical High
$229.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$186.21
Typical High
$512.86

Where Massachusetts sits

The same service costs 13.5 times more in Kansas than in New York. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $229 · 13th of 51
KS $603NY $44.67

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.