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Additional Time Spent On Care Outside A Visit

Maryland 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?

$51.29

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $51.29 for this service. Most negotiated rates run $40.74 to $102.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $49 · 10th to 90th $49 to $49Professionalmedian $51 · 10th to 90th $39 to $170
$50.0$100.0$200.0facility $49professional $51

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$181.97
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$61.66
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$46.77
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$91.20
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$53.70
Typical High
$61.66

Where Maryland 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.

Maryland $51.29 · 29th 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.