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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.

How much does Extended Preventive Counseling Visit cost?

$97.72

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $123 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$95.50$72.44 to $123
FacilityA hospital or hospital-owned outpatient department$123$95.50 to $148

How much rates vary

Facilitymedian $123 · 10th to 90th $74 to $158Professionalmedian $95 · 10th to 90th $63 to $148
$100$200facility $123professional $95

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
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

Where Montana 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.

Montana· 9th of 51

$97.72

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.