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Additional Time Spent On Care Outside A Visit

Michigan 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 October 2026.

How much does Additional Time Spent On Care Outside A Visit cost?

$52.48

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $54.95 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$43.65 to $61.66
FacilityA hospital or hospital-owned outpatient department$54.95$38.02 to $89.13

How much rates vary

Facilitymedian $55 · 10th to 90th $32 to $138Professionalmedian $52 · 10th to 90th $38 to $68
$20$50$100$200facility $55professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$37.15
Typical High
$38.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$38.02
Typical High
$38.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$18.20
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.50
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.63
Median
$3.80
Typical High
$3.80
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$57.54
Typical High
$114.82
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$53.70
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$56.23
Typical High
$97.72
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$138.04
Typical High
$151.36
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$51.29
Typical High
$70.79
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Priority Health
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$53.70
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$58.88
Typical High
$74.13

Where Michigan sits

The same service costs 2.6 times more in Nebraska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 28th of 51

$52.48

NE $93.33TX $36.31

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.