go back

Extended Preventive Counseling Visit

Tennessee 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?

$77.62

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $85.11 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$69.18 to $95.50
FacilityA hospital or hospital-owned outpatient department$85.11$70.79 to $132

How much rates vary

Facilitymedian $85 · 10th to 90th $63 to $447Professionalmedian $78 · 10th to 90th $62 to $129
$100$200$500facility $85professional $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
$60.26
Median
$75.86
Typical High
$117.49
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$95.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$154.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$144.54

Where Tennessee 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.

Tennessee· 35th of 51

$77.62

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.