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Extended Preventive Counseling Visit

South Dakota 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 $100 · 10th–90th $65$1550%5%10%10th90th$100Professionalmedian $89 · 10th–90th $63$1740%10%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$190.55
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$107.15
Typical High
$154.88