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Extended Advance Care Planning Discussion

Alaska rates for HCPCS 99498

This is an extended conversation between a patient and their healthcare provider about future medical care wishes, including decisions about treatments a person would or would not want if seriously ill. It covers additional time spent beyond an initial advance care planning discussion, often completing or updating documents like a living will or healthcare proxy.

Rates data updated October 2026.

How much does Extended Advance Care Planning Discussion cost?

$174

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $141 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$138 to $186
FacilityA hospital or hospital-owned outpatient department$141$138 to $182

How much rates vary

Facilitymedian $141 · 10th to 90th $126 to $200Professionalmedian $174 · 10th to 90th $72 to $224
$100$200facility $141professional $174

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
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$141.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$138.04
Typical High
$141.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$69.18
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$100.00
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$173.78
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$141.25
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.88
Median
$69.18
Typical High
$69.18
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Providence
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$151.36
Typical High
$213.80
Providence
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$128.82
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$204.17
Typical High
$234.42

Where Alaska sits

The same service costs 3.0 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.

Alaska· 1st of 51

$174

AK $174NY $57.54

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.