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Extended Preventive Counseling Visit

Colorado 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?

$83.18

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $100 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 7 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$81.28$69.18 to $100
FacilityA hospital or hospital-owned outpatient department$100$81.28 to $126

How much rates vary

Facilitymedian $100 · 10th to 90th $68 to $151Professionalmedian $81 · 10th to 90th $62 to $141
$100$200facility $100professional $81

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
$165.96
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$165.96
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$407.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$125.89
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$162.18

Where Colorado 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.

Colorado· 25th of 51

$83.18

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.