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Extended Advance Care Planning Discussion

Colorado 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?

$67.61

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $79.43 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 7 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$66.07$60.26 to $85.11
FacilityA hospital or hospital-owned outpatient department$79.43$63.10 to $100

How much rates vary

Facilitymedian $79 · 10th to 90th $58 to $129Professionalmedian $66 · 10th to 90th $56 to $126
$0.1$1.0$10.0$100.0facility $79professional $66

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
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$91.20
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$72.44
Median
$245.47
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$151.36
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$131.83
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$223.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$144.54
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Colorado 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.

Colorado $67.61 · 26th 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.