go back

Extra Non-Visit Care Time, First Hour

New Mexico 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 New Mexico, 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 $132 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$85.11 to $126
FacilityA hospital or hospital-owned outpatient department$132$117 to $151

How much rates vary

Facilitymedian $132 · 10th to 90th $95 to $282Professionalmedian $95 · 10th to 90th $81 to $302
$100$1K$10K$100Kfacility $132professional $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
$120.23
Median
$125.89
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$208.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$204.17

Where New Mexico 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 Mexico· 37th 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.