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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.

How much does Extended Preventive Counseling Visit cost?

$77.62

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $95.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$67.61 to $95.50
FacilityA hospital or hospital-owned outpatient department$95.50$64.57 to $117

How much rates vary

Facilitymedian $95 · 10th to 90th $56 to $138Professionalmedian $78 · 10th to 90th $60 to $129
$100$200facility $95professional $78

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
$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

Where Florida 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.

Florida· 34th of 51

$77.62

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.