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Extended Preventive Counseling Visit

South Carolina 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 $95 · 10th–90th $66$1480%10%10th90th$95Professionalmedian $78 · 10th–90th $62$1070%10%20%10th90th$78$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
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$102.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$165.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$123.03