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Additional Time Spent On Care Outside A Visit

Virginia 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?

$53.70

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $63.10 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 8 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$52.48$40.74 to $57.54
FacilityA hospital or hospital-owned outpatient department$63.10$51.29 to $83.18

How much rates vary

Facilitymedian $63 · 10th to 90th $41 to $117Professionalmedian $52 · 10th to 90th $34 to $85
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $63professional $52

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
$40.74
Median
$53.70
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$32.36
Typical High
$60.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$42.66
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$63.10
Medcost
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$63.10
Typical High
$97.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$67.61
Typical High
$234.42
Sentara
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$69.18
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$112.20

Where Virginia 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.

Virginia $53.70 · 21st 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.