go back

Extended Preventive Counseling Visit

Washington, DC 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?

$69.18

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $60.26 to $85.11.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $69 · 10th to 90th $69 to $85Professionalmedian $69 · 10th to 90th $56 to $107
$100$200facility $69professional $69

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$75.86
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$35.48
Typical High
$42.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.23
Median
$10.47
Typical High
$12.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$7.08
Typical High
$8.51
CareFirst
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$60.26
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$74.13
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$93.33
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$77.62
Typical High
$162.18

Where Washington, DC 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.

Washington, DC· 50th of 51

$69.18

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.