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Extended Preventive Counseling Visit

Idaho 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$1620%10%10th90th$102Professionalmedian $89 · 10th–90th $65$1510%10%10th90th$89$50.0$100.0$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
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$107.15
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$165.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$131.83
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$77.62
Typical High
$165.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$181.97
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$162.18