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Additional Time Spent On Care Outside A Visit

Wisconsin 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?

$61.66

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $44.67 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 11 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$61.66$44.67 to $97.72
FacilityA hospital or hospital-owned outpatient department$44.67$37.15 to $79.43

How much rates vary

Facilitymedian $45 · 10th to 90th $34 to $117Professionalmedian $62 · 10th to 90th $36 to $141
$1.0$5.0$20.0$100.0facility $45professional $62

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
$36.31
Median
$67.61
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$91.20
Typical High
$120.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$79.43
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$107.15
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Network Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$141.25
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$125.89
Quartz
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$331.13
Typical High
$331.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$141.25
Typical High
$331.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Security Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$75.86
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$147.91

Where Wisconsin 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.

Wisconsin $61.66 · 13th 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.