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Additional Time Spent On Care Outside A Visit

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $69.18 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 6 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$58.88$46.77 to $102
FacilityA hospital or hospital-owned outpatient department$69.18$52.48 to $123

How much rates vary

Facilitymedian $69 · 10th to 90th $42 to $151Professionalmedian $59 · 10th to 90th $39 to $126
$20.0$50.0$100.0$200.0facility $69professional $59

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
$52.48
Median
$128.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$67.61
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$107.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$97.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$53.70
Typical High
$97.72
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13

Where North Carolina 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.

North Carolina $58.88 · 14th 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.