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Extended Advance Care Planning Discussion

New Mexico 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?

$67.61

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 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 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$67.61$60.26 to $77.62
FacilityA hospital or hospital-owned outpatient department$81.28$64.57 to $105

How much rates vary

Facilitymedian $81 · 10th to 90th $58 to $135Professionalmedian $68 · 10th to 90th $56 to $102
$50.0$100.0$200.0facility $81professional $68

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
$100.00
Median
$104.71
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$89.13
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$69.18
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$107.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$79.43
Typical High
$134.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$147.91
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where New Mexico 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.

New Mexico $67.61 · 34th 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.