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Extended Advance Care Planning Discussion

Maine 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?

$83.18

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $64.57 to $120.

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

Facilitymedian $65 · 10th to 90th $65 to $66Professionalmedian $83 · 10th to 90th $59 to $170
$50.0$100.0$200.0facility $65professional $83

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$165.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$199.53
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$66.07
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$165.96
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Maine 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.

Maine $83.18 · 9th 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.