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Extended Advance Care Planning Discussion

Iowa 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?

$72.44

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $72.44 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 8 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$72.44$61.66 to $107
FacilityA hospital or hospital-owned outpatient department$72.44$63.10 to $115

How much rates vary

Facilitymedian $72 · 10th to 90th $56 to $132Professionalmedian $72 · 10th to 90th $56 to $170
$50.0$100.0$200.0$500.0facility $72professional $72

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
$64.57
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$169.82
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$213.80
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$128.82
Typical High
$194.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$190.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$194.98
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$117.49
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$162.18
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$107.15

Where Iowa 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.

Iowa $72.44 · 20th 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.