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Extended Preventive Counseling Visit

Washington 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 $110 · 10th–90th $66$1860%10%10th90th$110Professionalmedian $95 · 10th–90th $65$2000%10%10th90th$95$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
$125.89
Median
$165.96
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$114.82
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$223.87
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$100.00
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$165.96
Typical High
$169.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$213.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$56.23
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$204.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$125.89