go back

Extended Preventive Counseling Visit

Delaware 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 $78 · 10th–90th $63$2880%20%40%10th90th$78Professionalmedian $74 · 10th–90th $60$1020%20%10th90th$74$50.0$100.0$200.0

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
$63.10
Median
$77.62
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$151.36
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$141.25