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Extended Preventive Counseling Visit (About An Hour)

New Jersey 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?

$100

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $89.13 to $123.

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.

How much rates vary

Facilitymedian $98 · 10th to 90th $85 to $155Professionalmedian $100 · 10th to 90th $81 to $178
$100$200facility $98professional $100

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
$97.72
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$125.89
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$213.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$213.80

Where New Jersey 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.

New Jersey· 44th of 51

$100

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.