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Extended Preventive Counseling Visit

Hawaii 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?

$75.86

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $66.07 to $89.13.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $76 · 10th to 90th $60 to $112
$100$200professional $76

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
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$234.42
HMSA
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$131.83
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$79.43

Where Hawaii 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.

Hawaii· 44th of 51

$75.86

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.