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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.

How much does Extended Preventive Counseling Visit cost?

$79.43

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $67.61 to $102.

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 $89 · 10th to 90th $89 to $105Professionalmedian $79 · 10th to 90th $60 to $148
$100$200facility $89professional $79

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
$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

Where Connecticut 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.

Connecticut· 29th of 51

$79.43

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.