go back

Extra Non-Visit Care Time, First Hour

Georgia 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 physician fee. In Georgia, July 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $87.10 to $155.

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.

How much rates vary

Facilitymedian $132 · 10th to 90th $87 to $316Professionalmedian $110 · 10th to 90th $76 to $229
$100$200facility $132professional $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
$87.10
Median
$131.83
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$288.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$239.88

Where Georgia 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.

Georgia· 22nd 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.