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Extended Preventive Counseling Visit (About An Hour)

Virginia 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?

$110

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $123 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 8 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$107$93.33 to $138
FacilityA hospital or hospital-owned outpatient department$123$102 to $151

How much rates vary

Facilitymedian $123 · 10th to 90th $89 to $191Professionalmedian $107 · 10th to 90th $83 to $178
$100$200facility $123professional $107

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
$89.13
Median
$93.33
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$208.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$177.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$181.97
Sentara
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$194.98

Where Virginia 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.

Virginia· 20th of 51

$110

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.