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Extended Preventive Counseling Visit

Rhode Island 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 $195 · 10th–90th $186$2090%50%10th90th$195Professionalmedian $89 · 10th–90th $65$1070%20%10th90th$89$50.0$100.0$200.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$151.36