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Extra Non-Visit Care Time, First Hour

South Carolina 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?

$85.11

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $85.11 for this service. Most negotiated rates run $75.86 to $107.

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 $95 · 10th to 90th $76 to $178Professionalmedian $85 · 10th to 90th $69 to $138
$100$200facility $95professional $85

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
$75.86
Median
$75.86
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$134.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$85.11
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$173.78

Where South Carolina 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.

South Carolina· 49th of 51

$85.11

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.