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Extended Preventive Counseling Visit

Kansas 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 $87 · 10th–90th $65$1620%10%10th90th$87Professionalmedian $100 · 10th–90th $65$1410%10%20%10th90th$100$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
$72.44
Median
$83.18
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$95.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$91.20
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$134.90