go back

Extended Preventive Counseling Visit (About An Hour)

Montana 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?

$135

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $162 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 6 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$126$95.50 to $162
FacilityA hospital or hospital-owned outpatient department$162$126 to $186

How much rates vary

Facilitymedian $162 · 10th to 90th $95 to $204Professionalmedian $126 · 10th to 90th $85 to $191
$100$200facility $162professional $126

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
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$234.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$194.98
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$173.78
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$204.17

Where Montana 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.

Montana· 6th of 51

$135

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.