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Additional Time Spent On Care Outside A Visit

Pennsylvania 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?

$46.77

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $331 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 9 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$44.67$40.74 to $58.88
FacilityA hospital or hospital-owned outpatient department$331$50.12 to $2,754

How much rates vary

Facilitymedian $331 · 10th to 90th $42 to $3,090Professionalmedian $45 · 10th to 90th $34 to $126
$100.0$1.0K$10.0Kfacility $331professional $45

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
$41.69
Median
$1,949.84
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$42.66
Typical High
$131.83
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$58.88
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$54.95
Typical High
$87.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$64.57
Typical High
$93.33
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$95.50
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$331.13
Typical High
$2,951.21
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$123.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$123.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$97.72

Where Pennsylvania 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.

Pennsylvania $46.77 · 37th 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.