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Extended Preventive Counseling Visit (About An Hour)

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $95.50 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $87 · 10th to 90th $71 to $110Professionalmedian $95 · 10th to 90th $78 to $148
$100$200facility $87professional $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. 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
$131.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$169.82

Where Maryland 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.

Maryland· 51st 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.