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Extended Clinical Staff Time During an Office Visit

Idaho 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?

$13.18

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $16.22 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$13.18$8.71 to $25.70
FacilityA hospital or hospital-owned outpatient department$16.22$11.48 to $23.44

How much rates vary

Facilitymedian $16 · 10th to 90th $9 to $35Professionalmedian $13 · 10th to 90th $8 to $40
$10$20$50facility $16professional $13

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
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.55
Typical High
$20.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$38.02
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.13
Typical High
$35.48
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$15.85
Typical High
$34.67
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$39.81
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$32.36
Typical High
$41.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$24.55
Typical High
$36.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.49
Typical High
$23.44

Where Idaho 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.

Idaho· 23rd of 51

$13.18

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.