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Extra Non-Visit Care Time, First Hour

Louisiana 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?

$105

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $110 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 5 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$100$87.10 to $129
FacilityA hospital or hospital-owned outpatient department$110$79.43 to $132

How much rates vary

Facilitymedian $110 · 10th to 90th $0 to $135Professionalmedian $100 · 10th to 90th $68 to $347
$0.1$1$10$100facility $110professional $100

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
$93.33
Median
$117.49
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$134.90
Christus
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$177.83

Where Louisiana 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.

Louisiana· 30th of 51

$105

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.