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Advance Care Planning Discussion

New Hampshire rates for HCPCS 99497

A face-to-face conversation between a clinician and a patient, a family member or a person appointed to decide on their behalf, about the patient's wishes for future medical care. It covers explaining and discussing advance directives such as a living will or naming a healthcare proxy, and completing those forms if the patient wishes. It covers the first substantial block of time spent on the discussion.

Rates data updated October 2026.

How much does Advance Care Planning Discussion cost?

$100

Typical physician fee. In New Hampshire, October 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $83.18 to $120.

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 $51 · 10th to 90th $51 to $51Professionalmedian $100 · 10th to 90th $66 to $158
$50$100$200facility $51professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$100.00
Typical High
$107.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$18.20
Median
$50.12
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$87.10
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$97.72
Typical High
$177.83
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$107.15
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$112.20
Typical High
$186.21
Well Sense
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Well Sense
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$2,511.89

Where New Hampshire sits

The same service costs 2.8 times more in Alaska than in New York. 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 Hampshire· 17th of 51

$100

AK $182NY $64.57

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.