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Extended Advance Care Planning Discussion

Arizona 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 July 2026.

How much does Extended Advance Care Planning Discussion cost?

$64.57

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $67.61 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 6 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$64.57$58.88 to $75.86
FacilityA hospital or hospital-owned outpatient department$67.61$57.54 to $81.28

How much rates vary

Facilitymedian $68 · 10th to 90th $49 to $123Professionalmedian $65 · 10th to 90th $55 to $117
$20.0$50.0$100.0$200.0$500.0facility $68professional $65

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
$53.70
Median
$53.70
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$100.00
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$245.47
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$75.86
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$69.18
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$34.67
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$79.43
Typical High
$131.83
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Arizona sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $64.57 · 45th of 51
MN $138KY $60.26

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.