go back

Extra Non-Visit Care Time, First Hour

Missouri 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?

$100

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $93.33 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$102$79.43 to $141
FacilityA hospital or hospital-owned outpatient department$93.33$67.61 to $135

How much rates vary

Facilitymedian $93 · 10th to 90th $65 to $182Professionalmedian $102 · 10th to 90th $68 to $380
$100$200$500facility $93professional $102

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
$64.57
Median
$79.43
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$93.33
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$114.82
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$177.83

Where Missouri 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.

Missouri· 34th of 51

$100

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.