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Extended Preventive Counseling Visit

Connecticut 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 $89 · 10th–90th $89$1050%20%40%90th$89Professionalmedian $79 · 10th–90th $60$1480%10%10th90th$79$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
$89.13
Median
$89.13
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$181.97
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$173.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$109.65
Typical High
$181.97