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Extended Preventive Counseling Visit (About An Hour)

Vermont 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?

$117

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $93.33 to $135.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $117 · 10th to 90th $91 to $148Professionalmedian $117 · 10th to 90th $83 to $186
$100$200$500facility $117professional $117

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$120.23
Typical High
$194.98
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$239.88

Where Vermont 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.

Vermont· 15th of 51

$117

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.