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Extended Advance Care Planning Discussion

Louisiana 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 negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $75.86 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 6 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$60.26 to $77.62
FacilityA hospital or hospital-owned outpatient department$75.86$72.44 to $102

How much rates vary

Facilitymedian $76 · 10th to 90th $72 to $110Professionalmedian $68 · 10th to 90th $55 to $95
$50.0$100.0$200.0facility $76professional $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
$72.44
Median
$75.86
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$87.10
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
$57.54
Median
$63.10
Typical High
$69.18
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$83.18
Christus
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$112.20
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Louisiana 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.

Louisiana $67.61 · 30th 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.