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Extended Preventive Counseling Visit (About An Hour)

Washington, DC 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?

$97.72

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $87.10 to $112.

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 $78 · 10th to 90th $78 to $89Professionalmedian $98 · 10th to 90th $79 to $145
$100$200facility $78professional $98

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
$125.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$218.78

Where Washington, DC 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.

Washington, DC· 45th of 51

$97.72

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.