go back

Extended Clinical Staff Time During an Office Visit

Iowa rates for HCPCS 99415

This covers additional time that clinical staff, such as a nurse, spend directly with a patient during an office visit, beyond what a typical visit usually requires, while a physician remains available for supervision. It is billed in addition to the main visit when extra hands-on staff time is needed to complete the care being provided.

Rates data updated July 2026.

How much does Extended Clinical Staff Time During an Office Visit cost?

$18.20

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $18.62 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$18.20$10.00 to $25.70
FacilityA hospital or hospital-owned outpatient department$18.62$14.45 to $28.18

How much rates vary

Facilitymedian $19 · 10th to 90th $10 to $38Professionalmedian $18 · 10th to 90th $9 to $44
$10$20$50$100facility $19professional $18

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
$18.62
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$14.13
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.38
Typical High
$48.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$43.65
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$18.62
Typical High
$31.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$28.18
Typical High
$39.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$26.30
Typical High
$35.48
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$38.02
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$11.48
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$26.92
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$29.51
Typical High
$31.62

Where Iowa sits

The same service costs 4.7 times more in Minnesota than in Kansas. 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.

Iowa· 9th of 51

$18.20

MN $39.81KS $8.51

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.