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Extended Advance Care Planning Discussion

Washington, DC 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 physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $58.88 to $77.62.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $58 · 10th to 90th $58 to $58Professionalmedian $68 · 10th to 90th $55 to $95
$100facility $58professional $68

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
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$85.11
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$147.91
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Washington, DC sits

The same service costs 2.3 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.

Washington, DC· 32nd of 51

$67.61

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.