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Extended Preventive Counseling Visit

Virginia 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 $93 · 10th–90th $68$1450%10%10th90th$93Professionalmedian $83 · 10th–90th $63$1380%10%10th90th$83$10.0$50.0$200.0$1.0K

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
$67.61
Median
$69.18
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$151.36
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
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$120.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$138.04
Sentara
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$151.36