Telephone visit by non-physician clinician for established patient

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Nonphysician Telephone Assessment 5-10 Min

Payers reporting CPT 98966

Payer pricing summary

Low

$13

Average

$42

Median

$25

High

$273

Payer rate distribution

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#
1	Carefirst professional · fee schedule · both · +7 other terms	5	$15	$15	$1	10%	3–30	$10 – $16
2	Excellus professional · fee schedule · both · +10 other terms	8	$14	$15	$5	33%	2–20	$10 – $31
3	UnitedHealthcare fee schedule · outpatient · +33 other terms	438	$14	$42	$97	233%	—	$1 – $791
4	Aetna fee schedule · outpatient · +25 other terms	389	$13	$79	$591	744%	—	$5 – $8.4k
5	Humana fee schedule · outpatient · +25 other terms	318	$13	$45	$435	966%	—	$1 – $8.3k
6	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	298	$20	$33	$33	100%	—	$0 – $403
7	WellCare fee schedule · outpatient · +18 other terms	192	$14	$13	$2	15%	—	$4 – $17
8	Devoted fee schedule · outpatient · +13 other terms	155	$14	$14	$18	125%	—	$11 – $319
9	Cigna fee schedule · outpatient · +25 other terms	130	$14	$16	$4	26%	—	$10 – $38
10	Molina fee schedule · outpatient · +20 other terms	128	$16	$18	$9	50%	—	$2 – $69
11	Cigna Healthspring fee schedule · outpatient · +6 other terms	121	$14	$14	$0	3%	—	$13 – $16
12	Anthem fee schedule · outpatient · +17 other terms	106	$15	$29	$27	94%	—	$4 – $142
13	Kaiser fee schedule · outpatient · +12 other terms	79	$14	$32	$58	179%	—	$8 – $523
14	Ambetter facility · fee schedule · outpatient · +11 other terms	57	$22	$23	$7	30%	—	$12 – $37
15	Caresource fee schedule · outpatient · +10 other terms	54	$13	$57	$75	132%	—	$10 – $186
16	Oscar fee schedule · outpatient · +15 other terms	51	$14	$14	$6	45%	—	$1 – $29
17	Superior Healthplan fee schedule · outpatient · +2 other terms	42	$14	$14	$0	2%	—	$13 – $17
18	Optum fee schedule · outpatient · +18 other terms	36	$13	$17	$8	50%	—	$10 – $42
19	Bcbs Tx fee schedule · outpatient · +4 other terms	30	$52	$47	$17	37%	—	$15 – $87
20	Regence professional · fee schedule · outpatient · +11 other terms	30	$12	$19	$9	48%	—	$10 – $41
21	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$25	$21	$5	25%	—	$6 – $27
22	Medicare fee schedule · outpatient · +9 other terms	25	$11	$11	$1	5%	—	$10 – $11
23	Medica professional · fee schedule · outpatient · +16 other terms	21	$14	$14	$2	14%	—	$10 – $24
24	Amerihealth Caritas fee schedule · outpatient · +7 other terms	20	$17	$19	$11	60%	—	$11 – $69
25	Clover fee schedule · outpatient · +9 other terms	20	$14	$14	$1	4%	—	$13 – $15

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