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Extended Preventive Counseling Visit

Texas 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 $63$1740%10%10th90th$95Professionalmedian $76 · 10th–90th $59$1050%10%20%10th90th$76$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
$58.88
Median
$72.44
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$177.83
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$89.13
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$131.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
$97.72
Typical High
$165.96
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$50.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$134.90
Typical High
$186.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$120.23