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Extra Non-Visit Care Time, First Hour

Indiana 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?

$91.20

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $105 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$91.20$74.13 to $105
FacilityA hospital or hospital-owned outpatient department$105$95.50 to $123

How much rates vary

Facilitymedian $105 · 10th to 90th $91 to $132Professionalmedian $91 · 10th to 90th $66 to $135
$100$200facility $105professional $91

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
$91.20
Median
$102.33
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$169.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$102.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$169.82

Where Indiana 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.

Indiana· 44th of 51

$91.20

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.