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Extra Non-Visit Care Time, First Hour

Washington, DC 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?

$85.11

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $85.11 to $87.10.

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 $85 · 10th to 90th $85 to $87Professionalmedian $85 · 10th to 90th $79 to $138
$100$200facility $85professional $85

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
$85.11
Median
$85.11
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$87.10
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$138.04
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$218.78

Where Washington, DC 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.

Washington, DC· 47th of 51

$85.11

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.