Smoking and tobacco use intensive counseling, 4-10 minutes
Medicare pricing data for 48,402 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS code 99406) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.46, but hospitals typically charge $37.22 — a 2.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.46, your out-of-pocket cost would be approximately $2.69. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $13.46 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $17 | $62 | 57 | 219 | +22.6% |
| New Jersey | $15 | $41 | 1,565 | 11,517 | +13.3% |
| New York | $15 | $49 | 4,073 | 28,143 | +12.8% |
| Hawaii | $15 | $30 | 72 | 319 | +9.7% |
| California | $15 | $46 | 2,719 | 22,773 | +9.6% |
| Connecticut | $15 | $39 | 565 | 2,659 | +8.8% |
| Puerto Rico | $15 | $40 | 11 | 36 | +8.1% |
| Maryland | $14 | $34 | 962 | 8,731 | +6.7% |
| District of Columbia | $14 | $37 | 128 | 817 | +4.2% |
| Delaware | $14 | $32 | 174 | 1,515 | +4.1% |
| Florida | $14 | $38 | 3,351 | 23,370 | +3.3% |
| Massachusetts | $14 | $42 | 1,632 | 12,557 | +3.2% |
| Pennsylvania | $14 | $36 | 1,606 | 9,879 | +3.1% |
| Michigan | $14 | $31 | 2,282 | 18,757 | +1.1% |
| Illinois | $14 | $39 | 1,657 | 12,990 | +1.0% |
| Wyoming | $14 | $34 | 42 | 209 | +0.8% |
| Georgia | $13 | $38 | 1,767 | 12,885 | -0.3% |
| Colorado | $13 | $33 | 668 | 2,638 | -0.4% |
| Washington | $13 | $39 | 1,011 | 4,251 | -1.1% |
| Arizona | $13 | $34 | 840 | 4,669 | -1.4% |
| Rhode Island | $13 | $52 | 100 | 513 | -2.1% |
| South Carolina | $13 | $35 | 1,067 | 6,601 | -2.7% |
| Oregon | $13 | $40 | 593 | 2,542 | -3.0% |
| Texas | $13 | $35 | 2,866 | 18,692 | -3.6% |
| Alabama | $13 | $25 | 845 | 7,322 | -4.5% |
| North Carolina | $13 | $36 | 2,456 | 20,255 | -4.8% |
| Louisiana | $13 | $33 | 825 | 5,487 | -5.2% |
| Nevada | $13 | $45 | 451 | 4,177 | -5.4% |
| Kansas | $13 | $33 | 414 | 2,062 | -5.5% |
| New Hampshire | $13 | $46 | 295 | 1,218 | -5.6% |
| Kentucky | $13 | $33 | 1,007 | 8,107 | -5.8% |
| Indiana | $13 | $33 | 1,211 | 7,681 | -6.4% |
| Virginia | $13 | $30 | 1,270 | 8,075 | -6.5% |
| New Mexico | $13 | $33 | 256 | 1,237 | -6.7% |
| Utah | $13 | $51 | 117 | 446 | -6.8% |
| Vermont | $13 | $37 | 63 | 287 | -6.8% |
| Wisconsin | $13 | $46 | 574 | 2,313 | -6.8% |
| Oklahoma | $13 | $31 | 897 | 8,991 | -7.0% |
| Tennessee | $12 | $33 | 1,784 | 12,159 | -7.3% |
| Ohio | $12 | $33 | 2,064 | 12,630 | -7.4% |
| Arkansas | $12 | $29 | 549 | 5,923 | -7.7% |
| Nebraska | $12 | $34 | 276 | 1,419 | -8.1% |
| Minnesota | $12 | $43 | 569 | 1,685 | -9.1% |
| Mississippi | $12 | $38 | 650 | 7,196 | -9.3% |
| Montana | $12 | $28 | 187 | 821 | -9.4% |
| West Virginia | $12 | $36 | 277 | 1,486 | -9.5% |
| North Dakota | $12 | $32 | 83 | 342 | -10.2% |
| South Dakota | $12 | $32 | 69 | 331 | -10.9% |
| Idaho | $12 | $33 | 140 | 691 | -11.0% |
| Iowa | $12 | $38 | 276 | 958 | -11.7% |
| Missouri | $12 | $34 | 766 | 5,954 | -12.0% |
| Maine | $11 | $37 | 191 | 1,074 | -19.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber