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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 July 2026.

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

$47.86

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $48.98 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 5 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$47.86$40.74 to $53.70
FacilityA hospital or hospital-owned outpatient department$48.98$43.65 to $77.62

How much rates vary

Facilitymedian $49 · 10th to 90th $35 to $120Professionalmedian $48 · 10th to 90th $31 to $63
$20.0$50.0$100.0$200.0facility $49professional $48

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
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$42.66
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$61.66
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$53.70
Typical High
$85.11
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$134.90
Typical High
$151.36
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$79.43

Where Michigan 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.

Michigan $47.86 · 35th 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.