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Extended Preventive Counseling Visit (About An Hour)

West 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?

$97.72

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $107 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 4 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$97.72$87.10 to $112
FacilityA hospital or hospital-owned outpatient department$107$93.33 to $107

How much rates vary

Facilitymedian $107 · 10th to 90th $93 to $117Professionalmedian $98 · 10th to 90th $81 to $141
$100$200facility $107professional $98

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
$93.33
Median
$93.33
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$125.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$177.83

Where West 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.

West Virginia· 46th of 51

$97.72

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.