Preventive health counseling, about 45 minutes, unscheduled

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PREV MED CNSL INDIV APPRX 45

Payers reporting CPT 99403

Payer pricing summary

Low

$21

Average

$159

Median

$146

High

$386

Payer rate distribution

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#
1	Cigna fee schedule · both · +25 other terms	54	$151	$172	$82	48%	3–30	$28 – $432
2	Humana fee schedule · outpatient · +22 other terms	217	$81	$171	$664	389%	—	$18 – $8.3k
3	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	145	$238	$259	$119	46%	—	$0 – $535
4	UnitedHealthcare fee schedule · outpatient · +29 other terms	119	$84	$94	$56	59%	—	$1 – $331
5	Aetna fee schedule · outpatient · +27 other terms	100	$84	$447	$1.3k	300%	—	$25 – $8.4k
6	Anthem fee schedule · outpatient · +18 other terms	73	$89	$127	$114	90%	—	$24 – $771
7	Molina facility · case rate · outpatient · +20 other terms	41	$78	$88	$43	49%	—	$43 – $249
8	Kaiser fee schedule · outpatient · +15 other terms	31	$89	$123	$100	81%	—	$5 – $523
9	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$304	$279	$102	37%	—	$89 – $513
10	Optum professional · fee schedule · outpatient · +9 other terms	22	$87	$75	$18	23%	—	$43 – $92
11	Devoted fee schedule · outpatient · +6 other terms	21	$84	$86	$2	3%	—	$83 – $89
12	Caresource facility · case rate · outpatient · +11 other terms	20	$87	$99	$34	34%	—	$53 – $170
13	Medicare fee schedule · outpatient · +4 other terms	18	$89	$89	—	—	—	$89 – $89
14	Regence fee schedule · outpatient · +10 other terms	17	$108	$124	$44	35%	—	$77 – $254
15	Tricare facility · fee schedule · outpatient · +12 other terms	17	$69	$104	$73	70%	—	$60 – $335
16	Aetna Better Health fee schedule · outpatient · +9 other terms	16	$60	$63	$11	18%	—	$41 – $79
17	Medica professional · fee schedule · outpatient · +11 other terms	15	$91	$84	$33	39%	—	$9 – $161
18	WellCare case rate · outpatient · +13 other terms	14	$86	$88	$6	6%	—	$79 – $97
19	Wellmark fee schedule · both · +13 other terms	13	$121	$120	$4	3%	—	$96 – $121
20	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$336	$270	$133	49%	—	$72 – $421
21	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$24	$24	—	—	—	$24 – $24
22	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$83	$83	—	—	—	$83 – $83
23	Highmark fee schedule · outpatient · +13 other terms	12	$84	$84	$4	4%	—	$59 – $111
24	Medcost fee schedule · both · +6 other terms	12	$158	$158	—	—	—	$158 – $158
25	Ucare professional · fee schedule · outpatient · +6 other terms	12	$93	$90	$8	9%	—	$62 – $96

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