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Extended Advance Care Planning Discussion

Maryland 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?

$67.61

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $64.57 to $77.62.

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.

How much rates vary

Professionalmedian $68 · 10th to 90th $55 to $98
$50$100professional $68

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
Professional
Modifier
None
Typical Low
$64.57
Median
$66.07
Typical High
$67.61
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$32.36
Typical High
$33.88
CareFirst
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$77.62
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$60.26
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$81.28
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$66.07
Typical High
$114.82
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$117.49
Typical High
$125.89

Where Maryland 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.

Maryland· 39th of 51

$67.61

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.