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Extra Non-Visit Care Time, First Hour

Kentucky 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 negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $83.18 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$85.11$74.13 to $105
FacilityA hospital or hospital-owned outpatient department$83.18$79.43 to $112

How much rates vary

Facilitymedian $83 · 10th to 90th $79 to $132Professionalmedian $85 · 10th to 90th $68 to $174
$50$100$200$500facility $83professional $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
$79.43
Median
$79.43
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$181.97

Where Kentucky 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.

Kentucky· 48th 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.