go back

Extended Advance Care Planning Discussion

Nebraska 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?

$117

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $214 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$87.10 to $145
FacilityA hospital or hospital-owned outpatient department$214$120 to $295

How much rates vary

Facilitymedian $214 · 10th to 90th $63 to $427Professionalmedian $117 · 10th to 90th $63 to $186
$100$200$500facility $214professional $117

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
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$165.96
Ambetter
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$269.15
Typical High
$562.34
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$100.00
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$144.54
Typical High
$173.78
Medica
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$120.23
Typical High
$323.59
Medica
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$177.83
Typical High
$457.09
Midlands
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$144.54
Typical High
$194.98
Midlands
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$158.49
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$144.54
Typical High
$186.21
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$31.62
Median
$31.62
Typical High
$31.62

Where Nebraska 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.

Nebraska· 8th of 51

$117

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.