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Extended Time During An Outpatient Visit

Kentucky 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 July 2026.

How much does Extended Time During An Outpatient Visit cost?

$575

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $97.72 to $38,905.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $28,184 to $38,905Professionalmedian $123 · 10th to 90th $72 to $48,978
$100$500$2K$10K$50Kfacility $38,905professional $123

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$154.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$38,904.51
Typical High
$38,904.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$48,977.88
Typical High
$51,286.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87

Where Kentucky sits

The same service costs 1288.2 times more in West Virginia 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.

Kentucky· 8th of 50

$575

WV $38,905SC $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.