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Extended Preventive Counseling Visit (About An Hour)

Maine 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?

$123

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $95.50 to $182.

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 $224 · 10th to 90th $204 to $245Professionalmedian $123 · 10th to 90th $83 to $245
$100$200facility $224professional $123

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
$204.17
Median
$223.87
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$234.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$281.84
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$218.78
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$234.42

Where Maine 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.

Maine· 12th of 51

$123

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.