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Extra Non-Visit Care Time, First Hour

Vermont 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?

$107

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $105 to $148.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $107 · 10th to 90th $105 to $214
$100$200professional $107

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
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$223.87
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$147.91
Typical High
$229.09

Where Vermont 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.

Vermont· 28th of 51

$107

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.