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Extended Advance Care Planning Discussion

Missouri 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?

$66.07

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $81.28 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 8 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$66.07$58.88 to $85.11
FacilityA hospital or hospital-owned outpatient department$81.28$61.66 to $112

How much rates vary

Facilitymedian $81 · 10th to 90th $52 to $126Professionalmedian $66 · 10th to 90th $55 to $123
$0.1$1.0$10.0$100.0facility $81professional $66

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
$95.50
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$120.23
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$114.82
Median
$114.82
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$79.43
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$70.79
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$77.62
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$457.09
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$120.23
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Missouri 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.

Missouri $66.07 · 37th 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.