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Extended Preventive Counseling Visit

New Mexico 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 $98 · 10th–90th $65$1550%10%10th90th$98Professionalmedian $79 · 10th–90th $58$1170%10%20%10th90th$79$20.0$50.0$100.0$200.0

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
$97.72
Median
$134.90
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$79.43
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$169.82