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Extended Advance Care Planning Discussion

Virginia 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?

$74.13

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $79.43 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$74.13$61.66 to $93.33
FacilityA hospital or hospital-owned outpatient department$79.43$69.18 to $102

How much rates vary

Facilitymedian $79 · 10th to 90th $62 to $132Professionalmedian $74 · 10th to 90th $58 to $123
$10.0$50.0$200.0$1.0Kfacility $79professional $74

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
$67.61
Median
$67.61
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$141.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$147.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$120.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$141.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$134.90
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$93.33
Median
$93.33
Typical High
$93.33

Where Virginia 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.

Virginia $74.13 · 16th 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.