Phone visit with physician, 11 to 20 minutes

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

TELEPHONE EVALUATION AND MANAGEMENT SERVICE BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL WHO MAY REPORT EVALUATION AND MANAGEMENT SERVICES PROVIDED TO AN ESTABLISHED PATIENT, PARENT, OR GUARDIAN NOT ORIGINATING FROM A RELATED E/M SERVICE PROVIDED WITHIN THE PREVIOUS 7 DAYS NOR LEADING TO AN E/M SERVICE OR PROCEDURE WITHIN THE NEXT 24 HOURS OR SOONEST AVAILABLE APPOINTMENT; 11-20 MINUTES OF MEDICAL DISCUSSION

Payers reporting CPT 99442

Payer pricing summary

Low

Average

$7.5k

Median

$116

High

$120.8k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +18 other terms	90	$50	$220	$981	446%	—	$1 – $8.3k
2	UnitedHealthcare fee schedule · both · +20 other terms	81	$62	$57	$45	79%	—	$4 – $311
3	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	67	$83	$132	$92	70%	—	$0 – $496
4	Cigna fee schedule · both · +19 other terms	49	$127	$115	$52	45%	—	$26 – $314
5	Aetna professional · fee schedule · outpatient · +21 other terms	38	$76	$101	$43	42%	—	$18 – $201
6	Anthem fee schedule · outpatient · +13 other terms	34	$64	$94	$116	123%	—	$8 – $811
7	Regence professional · fee schedule · outpatient · +5 other terms	24	$76	$121	$66	55%	—	$64 – $281
8	Molina professional · fee schedule · outpatient · +13 other terms	23	$76	$76	$11	15%	—	$64 – $87
9	WellCare fee schedule · both · +9 other terms	20	$41	$62	$18	28%	—	$40 – $96
10	Caresource facility · case rate · outpatient · +4 other terms	15	$63	$68	$16	23%	—	$42 – $108
11	Optum fee schedule · both · +12 other terms	13	$50	$52	$20	39%	—	$29 – $83
12	Wellmark fee schedule · both · +5 other terms	13	$102	$102	—	—	—	$102 – $102
13	Amerihealth Caritas fee schedule · both · +3 other terms	12	$41	$41	—	—	—	$41 – $41
14	Bcbs Nj fee schedule · outpatient	12	$48	$48	—	—	—	$48 – $48
15	MultiPlan fee schedule · both · +11 other terms	12	$118	$113	$20	18%	—	$49 – $128
16	Bcbs Mn fee schedule · outpatient · +4 other terms	11	$114	$116	$32	28%	—	$59 – $143
17	Bcbs Nc fee schedule · both · +1 other terms	11	$73	$73	—	—	—	$73 – $73
18	Medica fee schedule · outpatient · +8 other terms	10	$226	$223	$63	28%	—	$101 – $292
19	Aetna Better Health fee schedule · inpatient · +3 other terms	9	$48	$58	$20	34%	—	$48 – $95
20	Devoted facility · fee schedule · outpatient · +4 other terms	8	$21	$23	$10	44%	—	$16 – $59
21	Ambetter fee schedule · both · +10 other terms	7	$46	$50	$20	40%	—	$43 – $196
22	Bcbs Il professional · fee schedule · both	7	$0	$0	—	—	—	$0 – $0
23	First Health fee schedule · both · +13 other terms	7	$31	$66	$60	91%	—	$31 – $196
24	Bcbs La other · outpatient · +2 other terms	6	$63	$133	$84	64%	—	$28 – $294
25	Phcs fee schedule · both · +11 other terms	5	$71	$73	$4	6%	—	$71 – $82

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