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Extended Advance Care Planning Discussion

Massachusetts 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?

$87.10

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $70.79 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 9 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$89.13$66.07 to $141
FacilityA hospital or hospital-owned outpatient department$70.79$45.71 to $81.28

How much rates vary

Facilitymedian $71 · 10th to 90th $34 to $105Professionalmedian $89 · 10th to 90th $58 to $186
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $71professional $89

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$177.83
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$151.36
Median
$208.93
Typical High
$354.81
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$446.68
Typical High
$446.68
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$97.72
Typical High
$181.97
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$102.33
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$128.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$199.53
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$446.68
Typical High
$446.68
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$208.93
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Massachusetts 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.

Massachusetts $87.10 · 7th 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.