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Extra Non-Visit Care Time, First Hour

Alaska rates for HCPCS 99358

This covers the first hour of extra time a clinician spends working on a patient's care outside of a face-to-face visit, for example reviewing extensive medical records, coordinating with other specialists, or preparing a complex care plan. It applies when this extra work goes well beyond what's typically expected around a regular appointment. The time doesn't include being in the room with the patient.

Rates data updated July 2026.

How much does Extra Non-Visit Care Time, First Hour cost?

$214

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $148 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 6 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$214$132 to $263
FacilityA hospital or hospital-owned outpatient department$148$110 to $245

How much rates vary

Facilitymedian $148 · 10th to 90th $72 to $257Professionalmedian $214 · 10th to 90th $79 to $363
$100$200$500facility $148professional $214

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$194.98
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$398.11
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$218.78
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$147.91
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$204.17
Typical High
$389.05

Where Alaska sits

The same service costs 2.6 times more in Alaska than in Alabama. 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.

Alaska· 1st of 51

$214

AK $214AL $81.28

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.