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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 October 2026.

How much does Extended Preventive Counseling Visit cost?

$75.86

Typical physician fee. In Arizona, October 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $63.10 to $93.33.

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.

How much rates vary

Facilitymedian $74 · 10th to 90th $58 to $339Professionalmedian $76 · 10th to 90th $54 to $447
$50$100$200$500facility $74professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$63.10
Typical High
$83.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$31.62
Typical High
$34.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$9.33
Typical High
$10.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.25
Median
$6.31
Typical High
$6.92
Ambetter
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$91.20
Typical High
$91.20
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$67.61
Typical High
$87.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$69.18
Typical High
$102.33
Medica
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$74.13
Typical High
$338.84
Medica
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$446.68
Typical High
$549.54
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$75.86
Typical High
$95.50

Where Arizona sits

The same service costs 2.9 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 42nd of 51

$75.86

AK $186FL $64.57

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.