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Additional Time Spent On Care Outside A Visit

Massachusetts 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?

$58.88

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $50.12 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 8 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$60.26$44.67 to $85.11
FacilityA hospital or hospital-owned outpatient department$50.12$41.69 to $58.88

How much rates vary

Facilitymedian $50 · 10th to 90th $36 to $100Professionalmedian $60 · 10th to 90th $39 to $105
$100.0$1.0K$10.0Kfacility $50professional $60

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
$50.12
Median
$51.29
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$123.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$134.90
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$109.65
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$39.81
Typical High
$104.71
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$38.02
Typical High
$64.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$64.57
Typical High
$100.00
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$134.90
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$109.65

Where Massachusetts 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.

Massachusetts $58.88 · 15th 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.