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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 July 2026.

How much does Extended Advance Care Planning Discussion cost?

$70.79

Typical negotiated rate. In Nebraska, 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 $87.10 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$61.66 to $93.33
FacilityA hospital or hospital-owned outpatient department$87.10$63.10 to $112

How much rates vary

Facilitymedian $87 · 10th to 90th $58 to $145Professionalmedian $71 · 10th to 90th $55 to $145
$0.1$1.0$10.0$100.0facility $87professional $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
$63.10
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$93.33
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$138.04
Typical High
$138.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$75.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$0.08
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$177.83
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Nebraska 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.

Nebraska $70.79 · 22nd 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.