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Extended Time During An Outpatient Visit

Washington 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?

$120

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $120 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 5 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$120$97.72 to $162
FacilityA hospital or hospital-owned outpatient department$120$95.50 to $151

How much rates vary

Facilitymedian $120 · 10th to 90th $78 to $219Professionalmedian $120 · 10th to 90th $79 to $224
$100$200facility $120professional $120

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$588.84
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$85.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$194.98

Where Washington 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.

Washington· 43rd of 50

$120

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.