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Additional Time Spent On Care Outside A Visit

Missouri 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?

$50.12

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $53.70 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$50.12$38.90 to $63.10
FacilityA hospital or hospital-owned outpatient department$53.70$36.31 to $87.10

How much rates vary

Facilitymedian $54 · 10th to 90th $30 to $93Professionalmedian $50 · 10th to 90th $31 to $95
$1.0$5.0$20.0$100.0facility $54professional $50

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
$30.20
Median
$37.15
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$39.81
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$162.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$83.18

Where Missouri 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.

Missouri $50.12 · 32nd 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.