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Extended Advance Care Planning Discussion

Vermont 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?

$85.11

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $72.44 to $105.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $85 · 10th to 90th $72 to $107
$100$200professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$87.10
Typical High
$93.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$79.43
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$89.13
Typical High
$117.49
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$104.71
Typical High
$112.20

Where Vermont 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.

Vermont· 18th of 51

$85.11

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.