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Additional Time Spent On Care Outside A Visit

Iowa 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?

$72.44

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $72.44 for this service. Most negotiated rates run $42.66 to $138.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $78 · 10th to 90th $38 to $98Professionalmedian $72 · 10th to 90th $37 to $195
$50.0$100.0$200.0facility $78professional $72

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
$38.02
Median
$63.10
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$67.61
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$69.18
Typical High
$87.10
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$63.10
Typical High
$194.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$81.28
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$141.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$107.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$120.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$53.70

Where Iowa 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.

Iowa $72.44 · 5th 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.