go back

Extended Preventive Counseling Visit (About An Hour)

Kentucky 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?

$102

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $95.50 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$102$89.13 to $117
FacilityA hospital or hospital-owned outpatient department$95.50$87.10 to $117

How much rates vary

Facilitymedian $95 · 10th to 90th $85 to $120Professionalmedian $102 · 10th to 90th $79 to $148
$100$200$500facility $95professional $102

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
$87.10
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$173.78

Where Kentucky 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.

Kentucky· 33rd of 51

$102

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.