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Extended Preventive Counseling Visit

Massachusetts 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 $78 · 10th–90th $34$1290%10%10th90th$78Professionalmedian $105 · 10th–90th $65$2040%5%10%10th90th$105$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
$77.62
Median
$89.13
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$147.91
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$446.68
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$186.21
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$56.23
Typical High
$97.72
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$144.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$218.78
Health New England
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$138.04
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$446.68
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$234.42