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Extended Preventive Counseling Visit (About An Hour)

Alabama rates for HCPCS 99404

A one-on-one counseling visit focused on preventive health, such as reducing risk factors for future illness or supporting healthier habits, lasting roughly an hour. It is a separate visit from a routine checkup, focused specifically on counseling rather than treating an existing illness.

Rates data updated July 2026.

How much does Extended Preventive Counseling Visit (About An Hour) cost?

$95.50

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $132 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 5 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$95.50$85.11 to $107
FacilityA hospital or hospital-owned outpatient department$132$132 to $148

How much rates vary

Facilitymedian $132 · 10th to 90th $105 to $186Professionalmedian $95 · 10th to 90th $79 to $126
$100$200facility $132professional $95

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
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$158.49

Where Alabama sits

The same service costs 2.1 times more in Minnesota than in Maryland. 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.

Alabama· 49th of 51

$95.50

MN $200MD $95.50

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.