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Extended Advance Care Planning Discussion

Michigan 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?

$70.79

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $74.13 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$70.79$60.26 to $75.86
FacilityA hospital or hospital-owned outpatient department$74.13$74.13 to $74.13

How much rates vary

Facilitymedian $74 · 10th to 90th $71 to $74Professionalmedian $71 · 10th to 90th $56 to $95
$20.0$50.0$100.0$200.0facility $74professional $71

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
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$89.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$72.44
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$123.03
Median
$123.03
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$194.98
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$186.21
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$128.82
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$165.96
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$120.23
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Michigan 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.

Michigan $70.79 · 23rd 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.