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Extended Preventive Counseling Visit

Arizona 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 $81 · 10th–90th $58$1380%10%10th90th$81Professionalmedian $76 · 10th–90th $59$1200%10%20%10th90th$76$50.0$100.0$200.0$500.0

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
$52.48
Median
$52.48
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$144.54