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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.

How much does Extended Preventive Counseling Visit cost?

$75.86

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $81.28 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$66.07 to $89.13
FacilityA hospital or hospital-owned outpatient department$81.28$67.61 to $102

How much rates vary

Facilitymedian $81 · 10th to 90th $58 to $138Professionalmedian $76 · 10th to 90th $59 to $120
$50$100$200$500facility $81professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Arizona sits

The same service costs 2.0 times more in Minnesota than in Delaware. 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· 47th of 51

$75.86

MN $151DE $74.13

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.