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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 October 2026.

How much does Extended Advance Care Planning Discussion cost?

$74.13

Typical physician fee. In Nevada, October 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $63.10 to $85.11.

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.

How much rates vary

Facilitymedian $66 · 10th to 90th $63 to $78Professionalmedian $74 · 10th to 90th $60 to $102
$50$100$200$500$1K$2Kfacility $66professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$63.10
Median
$63.10
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$67.61
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$31.62
Median
$31.62
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$81.28
Typical High
$120.23
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$72.44
Typical High
$100.00
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$0.40
Median
$95.50
Typical High
$117.49
Select Health
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$77.62
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$57.54
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$77.62
Typical High
$102.33

Where Nevada 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.

Nevada· 28th of 51

$74.13

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.