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Extended Advance Care Planning Discussion

Illinois 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?

$69.18

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $115 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$67.61$57.54 to $83.18
FacilityA hospital or hospital-owned outpatient department$115$115 to $132

How much rates vary

Facilitymedian $115 · 10th to 90th $105 to $132Professionalmedian $68 · 10th to 90th $40 to $107
$50.0$100.0$200.0facility $115professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$114.82
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$107.15
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$104.71
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$64.57
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$70.79
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$239.88
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$134.90
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Illinois 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.

Illinois $69.18 · 24th 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.