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Extended Time During An Outpatient Visit

Massachusetts 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?

$776

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $372 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$776 to $776
FacilityA hospital or hospital-owned outpatient department$372$372 to $372

How much rates vary

Facilitymedian $372 · 10th to 90th $372 to $372Professionalmedian $776 · 10th to 90th $776 to $776
$100.0$200.0$500.0facility $372professional $776

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
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$588.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10

Where Massachusetts sits

The same service costs 1288.2 times more in West Virginia than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $776 · 7th of 50
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.