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Extended Preventive Counseling Visit (About An Hour)

Delaware 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 physician fee. In Delaware, July 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $85.11 to $107.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $117 · 10th to 90th $85 to $407Professionalmedian $95 · 10th to 90th $79 to $132
$100$200facility $117professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$190.55
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$186.21

Where Delaware 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.

Delaware· 50th 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.