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Extended Advance Care Planning Discussion

Utah 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?

$72.44

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $77.62 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$72.44$60.26 to $91.20
FacilityA hospital or hospital-owned outpatient department$77.62$77.62 to $77.62

How much rates vary

Facilitymedian $78 · 10th to 90th $78 to $112Professionalmedian $72 · 10th to 90th $58 to $138
$20.0$50.0$100.0$200.0facility $78professional $72

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$138.04
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$123.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$114.82
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$100.00
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$125.89

Where Utah 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.

Utah $72.44 · 21st 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.