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Cognitive Assessment and Care Planning Visit

Maine rates for HCPCS 99483

This is a dedicated office visit where a doctor or other qualified provider evaluates a patient's memory and thinking abilities and develops a personalized care plan based on the results. It is typically used for patients with concerns about memory loss or a diagnosed cognitive condition such as dementia, and involves input from the patient and often a caregiver.

Rates data updated July 2026.

How much does Cognitive Assessment and Care Planning Visit cost?

$251

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $191 to $372.

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.

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $229Professionalmedian $251 · 10th to 90th $162 to $575
$200$500$1Kfacility $158professional $251

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
$158.49
Median
$158.49
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$537.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$707.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$354.81
Typical High
$588.84

Where Maine sits

The same service costs 2.1 times more in Minnesota than in Kentucky. 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.

Maine· 11th of 51

$251

MN $427KY $200

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.