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Extended Preventive Counseling Visit (About An Hour)

Georgia 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?

$110

Typical physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $95.50 to $138.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $120 · 10th to 90th $89 to $174Professionalmedian $110 · 10th to 90th $85 to $178
$100$200facility $120professional $110

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
$89.13
Median
$120.23
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$234.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$190.55

Where Georgia 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.

Georgia· 22nd of 51

$110

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.