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Extended Preventive Counseling Visit

Nevada 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?

$75.86

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $79.43 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 7 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$75.86$67.61 to $89.13
FacilityA hospital or hospital-owned outpatient department$79.43$79.43 to $87.10

How much rates vary

Facilitymedian $79 · 10th to 90th $52 to $95Professionalmedian $76 · 10th to 90th $59 to $115
$50$100$200facility $79professional $76

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$147.91
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$1.07
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$87.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$151.36

Where Nevada 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.

Nevada· 43rd of 51

$75.86

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.