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Extra Non-Visit Care Time, First Hour

Nebraska 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?

$191

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $234 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$191$81.28 to $302
FacilityA hospital or hospital-owned outpatient department$234$135 to $398

How much rates vary

Facilitymedian $234 · 10th to 90th $81 to $525Professionalmedian $191 · 10th to 90th $68 to $363
$100$200$500$1Kfacility $234professional $191

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
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$190.55
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$204.17
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$281.84

Where Nebraska 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.

Nebraska· 3rd of 51

$191

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.