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Extra Non-Visit Care Time, First Hour

New Jersey 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?

$102

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $89.13 to $138.

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

Facilitymedian $93 · 10th to 90th $83 to $151Professionalmedian $102 · 10th to 90th $69 to $195
$100$200facility $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
$83.18
Median
$93.33
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$120.23
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$229.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$190.55
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$208.93

Where New Jersey 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.

New Jersey· 33rd of 51

$102

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.