go back

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.

How much does Extended Preventive Counseling Visit cost?

$79.43

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $69.18 to $89.13.

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.

How much rates vary

Facilitymedian $95 · 10th to 90th $66 to $148Professionalmedian $78 · 10th to 90th $62 to $107
$50$100$200facility $95professional $78

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where South Carolina 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.

South Carolina· 31st of 51

$79.43

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.