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Extended Preventive Counseling Visit

New Jersey 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?

$77.62

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $67.61 to $95.50.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $76 · 10th to 90th $65 to $123Professionalmedian $79 · 10th to 90th $62 to $135
$50.0$100.0$200.0$500.0facility $76professional $79

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
$64.57
Median
$75.86
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$91.20
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$165.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$173.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$165.96

Where New Jersey sits

The same service costs 2.0 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $77.62 · 39th of 51
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.