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Extended Preventive Counseling Visit

Georgia 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?

$85.11

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $72.44 to $107.

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.

How much rates vary

Facilitymedian $91 · 10th to 90th $68 to $129Professionalmedian $85 · 10th to 90th $65 to $141
$100$200facility $91professional $85

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
$67.61
Median
$91.20
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$89.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$151.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$97.72
Typical High
$181.97
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$147.91

Where Georgia 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.

Georgia· 22nd of 51

$85.11

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.