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Extended Preventive Counseling Visit

Iowa 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 $102 · 10th–90th $66$1740%5%10%10th90th$102Professionalmedian $89 · 10th–90th $65$1860%10%10th90th$89$50.0$100.0$200.0$500.0

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
$93.33
Median
$151.36
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$204.17
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$162.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$234.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$194.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$147.91