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Extended Preventive Counseling Visit

Minnesota 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.

How much does Extended Preventive Counseling Visit cost?

$151

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $117 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$95.50 to $204
FacilityA hospital or hospital-owned outpatient department$117$79.43 to $200

How much rates vary

Facilitymedian $117 · 10th to 90th $69 to $355Professionalmedian $155 · 10th to 90th $72 to $245
$100$200$500facility $117professional $155

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$128.82
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$186.21
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$177.83
Typical High
$302.00
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$676.08
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$239.88

Where Minnesota sits

The same service costs 2.0 times more in Minnesota than in Delaware. 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.

Minnesota· 1st of 51

$151

MN $151DE $74.13

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.