go back

Extended Advance Care Planning Discussion

Oregon 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?

$110

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $115 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 8 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$110$66.07 to $155
FacilityA hospital or hospital-owned outpatient department$115$83.18 to $141

How much rates vary

Facilitymedian $115 · 10th to 90th $63 to $145Professionalmedian $110 · 10th to 90th $58 to $186
$50.0$100.0$200.0facility $115professional $110

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
$134.90
Median
$165.96
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$165.96
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$147.91
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$128.82
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$186.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$190.55
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$147.91
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$190.55
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$190.55

Where Oregon 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.

Oregon $110 · 2nd 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.