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Extended Preventive Counseling Visit

Florida 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 $95 · 10th–90th $56$1380%10%20%10th90th$95Professionalmedian $78 · 10th–90th $60$1290%20%10th90th$78$0.1$0.5$2.0$10.0$50.0$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
$56.23
Median
$95.50
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$91.20
AvMed
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$57.54
Typical High
$60.26
AvMed
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$72.44
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$177.83
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$85.11
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$79.43
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$91.20