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Extended Preventive Counseling Visit

Oregon 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 October 2026.

How much does Extended Preventive Counseling Visit cost?

$126

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $166 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$102 to $151
FacilityA hospital or hospital-owned outpatient department$166$141 to $174

How much rates vary

Facilitymedian $166 · 10th to 90th $102 to $204Professionalmedian $126 · 10th to 90th $85 to $200
$100$200facility $166professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$102.33
Typical High
$125.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$51.29
Typical High
$61.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$15.49
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.13
Median
$10.23
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$125.89
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$165.96
Typical High
$213.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$154.88
Typical High
$204.17
Moda Health
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$125.89
Typical High
$194.98
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$51.29
Typical High
$61.66
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.13
Median
$15.49
Typical High
$18.62
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.55
Median
$10.23
Typical High
$12.59
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$162.18
Typical High
$173.78
Providence
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$169.82
Typical High
$204.17
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$134.90
Typical High
$208.93
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$223.87
Typical High
$346.74
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$138.04
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$147.91
Typical High
$229.09

Where Oregon sits

The same service costs 2.9 times more in Alaska than in Florida. 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.

Oregon· 6th of 51

$126

AK $186FL $64.57

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.