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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 July 2026.

How much does Extended Advance Care Planning Discussion cost?

$60.26

Typical negotiated rate. In Kentucky, July 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 $67.61 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$60.26$57.54 to $70.79
FacilityA hospital or hospital-owned outpatient department$67.61$54.95 to $89.13

How much rates vary

Facilitymedian $68 · 10th to 90th $55 to $89Professionalmedian $60 · 10th to 90th $50 to $85
$20.0$50.0$100.0$200.0$500.0facility $68professional $60

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
$54.95
Median
$54.95
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$85.11
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$53.70
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$63.10
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$69.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$104.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$120.23
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Kentucky 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.

Kentucky $60.26 · 51st 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.