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Extended Preventive Counseling Visit (About An Hour)

Idaho 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?

$117

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $138 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 8 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$115$93.33 to $158
FacilityA hospital or hospital-owned outpatient department$138$102 to $170

How much rates vary

Facilitymedian $138 · 10th to 90th $85 to $209Professionalmedian $115 · 10th to 90th $83 to $204
$100$200facility $138professional $115

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
$162.18
Median
$186.21
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$204.17
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$77.62
Typical High
$208.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$245.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$204.17

Where Idaho 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.

Idaho· 13th of 51

$117

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.