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Additional Time Spent On Care Outside A Visit

North Dakota 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?

$77.62

Typical physician fee. In North Dakota, October 2026.

Insurers have agreed to pay about $77.62 for this service. Most negotiated rates run $64.57 to $93.33.

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.

How much rates vary

Facilitymedian $54 · 10th to 90th $51 to $54Professionalmedian $79 · 10th to 90th $55 to $107
$50$100$200facility $54professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$34.67
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$53.70
Typical High
$67.61
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$77.62
Typical High
$95.50
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$74.13
Median
$93.33
Typical High
$114.82
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$15.85
Typical High
$19.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$75.86
Typical High
$112.20
Medica
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$53.70
Typical High
$162.18
Medica
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$107.15
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$97.72
Typical High
$134.90

Where North Dakota 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.

North Dakota· 7th of 51

$77.62

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.