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Extra Non-Visit Care Time, First Hour

South Dakota 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?

$145

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $83.18 to $174.

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.

How much rates vary

Facilitymedian $120 · 10th to 90th $93 to $200Professionalmedian $145 · 10th to 90th $66 to $200
$100$200facility $120professional $145

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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$83.18
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$204.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$213.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$218.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$128.82

Where South Dakota 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 Dakota· 10th of 51

$145

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.