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Extended Preventive Counseling Visit

Montana 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 $123 · 10th–90th $74$1580%10%20%10th90th$123Professionalmedian $95 · 10th–90th $63$1480%10%10th90th$95$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
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$186.21
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$154.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$154.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$138.04
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$158.49