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Additional Time Spent On Care Outside A Visit

Hawaii rates for HCPCS 99359

This covers extra time a physician or other provider spends working on a patient's care outside of a face-to-face visit, such as reviewing extensive records, coordinating with other providers, or preparing a complex treatment plan. It's billed in additional increments beyond an initial period already accounted for. It reflects substantial time and effort that goes beyond what's typically included in a regular visit.

Rates data updated July 2026.

How much does Additional Time Spent On Care Outside A Visit cost?

$45.71

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $45.71 for this service. Most negotiated rates run $37.15 to $53.70.

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 $46 · 10th to 90th $29 to $63
$50.0$100.0professional $46

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
$28.84
Median
$42.66
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$61.66
Typical High
$102.33
HMSA
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$63.10
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$85.11
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$46.77

Where Hawaii sits

The same service costs 2.8 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $45.71 · 38th of 51
AK $93.33AL $33.11

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.