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Extended Preventive Counseling Visit (About An Hour)

Colorado 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?

$107

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $105 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 7 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$105$91.20 to $132
FacilityA hospital or hospital-owned outpatient department$132$105 to $162

How much rates vary

Facilitymedian $132 · 10th to 90th $89 to $200Professionalmedian $105 · 10th to 90th $81 to $182
$100$200facility $132professional $105

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. 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
$97.72
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$213.80
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$158.49
Typical High
$281.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$0.11
Median
$169.82
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$208.93

Where Colorado 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.

Colorado· 26th of 51

$107

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.