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Extended Preventive Counseling Visit (About An Hour)

Michigan 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 Michigan, 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 $126 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 $126
FacilityA hospital or hospital-owned outpatient department$126$112 to $141

How much rates vary

Facilitymedian $126 · 10th to 90th $100 to $145Professionalmedian $102 · 10th to 90th $81 to $166
$100$200facility $126professional $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
$100.00
Median
$125.89
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$229.09
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$144.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$162.18
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$223.87
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$204.17

Where Michigan 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.

Michigan· 34th 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.