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Extended Preventive Counseling Visit

Maine 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 $195 · 10th–90th $166$1950%50%10th$195Professionalmedian $93 · 10th–90th $65$1910%10%10th90th$93$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
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$75.86
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$181.97
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$218.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$194.98
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$177.83