go back

Extra Non-Visit Care Time, First Hour

Montana 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?

$148

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $151 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$138$95.50 to $178
FacilityA hospital or hospital-owned outpatient department$151$148 to $162

How much rates vary

Facilitymedian $151 · 10th to 90th $135 to $186Professionalmedian $138 · 10th to 90th $68 to $347
$100$200facility $151professional $138

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
$67.61
Median
$107.15
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$138.04
Typical High
$186.21
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$177.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$223.87
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
$173.78
Typical High
$204.17

Where Montana 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.

Montana· 8th of 51

$148

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.