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Extended Preventive Counseling Visit

Nationwide rates for HCPCS 99403

A clinician spends a substantial one-on-one session, roughly 45 minutes, counseling a patient on ways to reduce personal health risks, for example around diet, exercise, or other lifestyle factors, separate from a routine checkup. It is handled as its own visit rather than folded into another type of appointment. This length of session allows more in-depth discussion than a brief counseling conversation.

Rates data updated July 2026.

Facilitymedian $98 · 10th–90th $65$1700%10%20%10th90th$98Professionalmedian $83 · 10th–90th $62$1660%20%10th90th$83$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$199.53