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Additional Time Spent On Care Outside A Visit

New Jersey 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?

$44.67

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $44.67 for this service. Most negotiated rates run $38.02 to $61.66.

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 $45 · 10th to 90th $40 to $45Professionalmedian $45 · 10th to 90th $28 to $95
$20$50$100facility $45professional $45

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
$39.81
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$44.67
Typical High
$46.77
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.95
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.03
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.98
Median
$4.47
Typical High
$4.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$45.71
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$58.88
Typical High
$77.62
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$34.67
Typical High
$81.28

Where New Jersey 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.

New Jersey· 41st of 51

$44.67

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.