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Extended Advance Care Planning Discussion

Montana 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?

$81.28

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $120 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 6 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$81.28$63.10 to $112
FacilityA hospital or hospital-owned outpatient department$120$79.43 to $123

How much rates vary

Facilitymedian $120 · 10th to 90th $63 to $135Professionalmedian $81 · 10th to 90th $58 to $132
$50.0$100.0$200.0$500.0facility $120professional $81

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
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$100.00
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$100.00
Typical High
$169.82
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$131.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$147.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$138.04

Where Montana 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.

Montana $81.28 · 11th 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.