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Extra Non-Visit Care Time, First Hour

Ohio 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 Ohio, 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 $83.18 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 9 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$81.28 to $129
FacilityA hospital or hospital-owned outpatient department$83.18$74.13 to $269

How much rates vary

Facilitymedian $83 · 10th to 90th $68 to $331Professionalmedian $95 · 10th to 90th $68 to $170
$50$100$200facility $83professional $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
$67.61
Median
$83.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$186.21
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$186.21

Where Ohio 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.

Ohio· 41st 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.