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Extra Non-Visit Care Time, First Hour

Maine 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?

$115

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $93.33 to $162.

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.

How much rates vary

Professionalmedian $115 · 10th to 90th $83 to $204
$100$200professional $115

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
Professional
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$251.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$218.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$199.53

Where Maine 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.

Maine· 17th of 51

$115

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.