go back

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 July 2026.

Facilitymedian $126 · 10th–90th $71$1740%10%20%10th90th$126Professionalmedian $126 · 10th–90th $66$2140%5%10%10th90th$126$1.0$5.0$20.0$100.0$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
$162.18
Median
$165.96
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$208.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$173.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$208.93
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$177.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$213.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$426.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$213.80