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Extended Preventive Counseling Visit

Vermont 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?

$89.13

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $70.79 to $105.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89 · 10th to 90th $69 to $115Professionalmedian $89 · 10th to 90th $62 to $145
$100facility $89professional $89

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$154.88
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$186.21

Where Vermont 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.

Vermont· 18th of 51

$89.13

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.