go back

Extended Preventive Counseling Visit

North Dakota 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 $87 · 10th–90th $72$1450%20%10th90th$87Professionalmedian $120 · 10th–90th $66$1910%5%10%10th90th$120$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
$74.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$162.18
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
$72.44
Median
$123.03
Typical High
$204.17