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Additional Time Spent On Care Outside A Visit

Kentucky 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?

$40.74

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $45.71 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$40.74$30.90 to $48.98
FacilityA hospital or hospital-owned outpatient department$45.71$36.31 to $47.86

How much rates vary

Facilitymedian $46 · 10th to 90th $36 to $56Professionalmedian $41 · 10th to 90th $29 to $79
$1.0$5.0$20.0$100.0facility $46professional $41

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
$36.31
Median
$41.69
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$40.74
Typical High
$67.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$53.70
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$85.11
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$87.10

Where Kentucky 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.

Kentucky $40.74 · 49th 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.