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Extended Advance Care Planning Discussion

South Carolina 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 physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $60.26 to $75.86.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $74 · 10th to 90th $59 to $126Professionalmedian $66 · 10th to 90th $56 to $98
$100$200facility $74professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$93.33
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$64.57
Median
$131.83
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$57.54
Median
$67.61
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$109.65

Where South Carolina sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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.

South Carolina· 31st of 51

$67.61

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.