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Extra Non-Visit Care Time, First Hour

Michigan 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?

$95.50

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $95.50 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$95.50$89.13 to $123
FacilityA hospital or hospital-owned outpatient department$95.50$93.33 to $158

How much rates vary

Facilitymedian $95 · 10th to 90th $87 to $240Professionalmedian $95 · 10th to 90th $78 to $151
$50$100$200$500facility $95professional $95

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
$93.33
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$147.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$141.25
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$181.97
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$263.03
Typical High
$309.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$204.17

Where Michigan 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.

Michigan· 39th of 51

$95.50

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.