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Extra Non-Visit Care Time, First Hour

Iowa 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?

$141

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $81.28 to $331.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $81 to $200Professionalmedian $141 · 10th to 90th $79 to $398
$100$200$500facility $135professional $141

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
$81.28
Median
$134.90
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$162.18
Typical High
$204.17
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$186.21
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$275.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$223.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$125.89

Where Iowa 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.

Iowa· 11th of 51

$141

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.