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Extended Advance Care Planning Discussion

Nevada 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 Nevada, 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 $69.18 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$66.07$58.88 to $77.62
FacilityA hospital or hospital-owned outpatient department$69.18$67.61 to $69.18

How much rates vary

Facilitymedian $69 · 10th to 90th $54 to $78Professionalmedian $66 · 10th to 90th $55 to $110
$1.0$10.0$100.0facility $69professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$83.18
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$117.49
Median
$245.47
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$79.43
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$93.33
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$138.04
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$75.86
Typical High
$112.20
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$117.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$77.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$83.18
Typical High
$138.04

Where Nevada 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.

Nevada $66.07 · 39th 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.