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Extended Advance Care Planning Discussion

Kentucky 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 October 2026.

How much does Extended Advance Care Planning Discussion cost?

$60.26

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $61.66 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60.26$56.23 to $69.18
FacilityA hospital or hospital-owned outpatient department$61.66$61.66 to $85.11

How much rates vary

Facilitymedian $62 · 10th to 90th $62 to $89Professionalmedian $60 · 10th to 90th $50 to $85
$50$100$200facility $62professional $60

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$85.11
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$30.90
Median
$30.90
Typical High
$42.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$61.66
Typical High
$69.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$30.90
Typical High
$30.90
Ambetter
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$58.88
Typical High
$70.79
CareSource
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$75.86
Typical High
$104.71
CareSource
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$77.62
Typical High
$104.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$67.61
Typical High
$380.19
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$75.86
Typical High
$93.33

Where Kentucky sits

The same service costs 3.0 times more in Alaska than in New York. 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.

Kentucky· 49th of 51

$60.26

AK $174NY $57.54

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.