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Extended Preventive Counseling Visit

North Carolina 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 $95 · 10th–90th $68$1700%10%10th90th$95Professionalmedian $115 · 10th–90th $72$1910%10%10th90th$115$10.0$20.0$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
$114.82
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$162.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$218.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$147.91
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54