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Additional Time Spent On Care Outside A Visit

Illinois 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?

$43.65

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $83.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$43.65$38.02 to $52.48
FacilityA hospital or hospital-owned outpatient department$83.18$52.48 to $257

How much rates vary

Facilitymedian $83 · 10th to 90th $37 to $851Professionalmedian $44 · 10th to 90th $33 to $66
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $83professional $44

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
$37.15
Median
$75.86
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$380.19
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$208.93
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$44.67
Typical High
$50.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$60.26
Typical High
$102.33

Where Illinois 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.

Illinois $43.65 · 42nd 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.