Extended Time During An Outpatient Visit

Washington, DC rates for HCPCS 99354

An extra block of face-to-face time a clinician spends with a patient during an office or outpatient visit, beyond what that visit normally involves. It applies when a problem is complicated enough that the usual appointment length is not sufficient, and the clinician stays with the patient. It covers the first extended block and is charged in addition to the visit itself.

Rates data updated October 2026.

How much does Extended Time During An Outpatient Visit cost?

$240

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $240 for this service. Most negotiated rates run $209 to $257.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $240 · 10th to 90th $141 to $282

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $281.84	Professional	None	$208.93	$223.87	$281.84
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04	Professional	None	$257.04	$257.04	$257.04
United Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $239.88	Professional	None	$141.25	$158.49	$239.88

Where Washington, DC sits

The same service costs 25.7 times more in Missouri than in South Carolina. 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.

Washington, DC· 20th of 49

$240

MO $776SC $30.20

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.