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Extended Preventive Counseling Visit

Louisiana 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 October 2026.

How much does Extended Preventive Counseling Visit cost?

$75.86

Typical physician fee. In Louisiana, October 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $69.18 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $78 to $191Professionalmedian $76 · 10th to 90th $59 to $102
$50$100$200facility $135professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$79.43
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$89.13
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$41.69
Typical High
$46.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$11.22
Median
$12.59
Typical High
$14.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.59
Median
$8.32
Typical High
$9.33
Ambetter
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$85.11
Typical High
$95.50
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$138.04
Typical High
$194.98
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$75.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$70.79
Typical High
$102.33
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$75.86
Typical High
$120.23

Where Louisiana sits

The same service costs 2.9 times more in Alaska than in Florida. 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.

Louisiana· 43rd of 51

$75.86

AK $186FL $64.57

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.