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Extra Non-Visit Care Time, First Hour

Colorado 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?

$110

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $115 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 7 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$110$79.43 to $166
FacilityA hospital or hospital-owned outpatient department$115$79.43 to $145

How much rates vary

Facilitymedian $115 · 10th to 90th $78 to $191Professionalmedian $110 · 10th to 90th $78 to $240
$100$200facility $115professional $110

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
$77.62
Median
$77.62
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$144.54
Typical High
$218.78
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$251.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$194.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$251.19

Where Colorado 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.

Colorado· 26th of 51

$110

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.