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Extended Clinical Staff Time During an Office Visit

Illinois 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?

$20.42

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $15.49 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 7 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$20.89$10.23 to $26.30
FacilityA hospital or hospital-owned outpatient department$15.49$14.45 to $38.02

How much rates vary

Facilitymedian $15 · 10th to 90th $14 to $38Professionalmedian $21 · 10th to 90th $9 to $39
$10$20$50facility $15professional $21

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
$14.45
Median
$15.49
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$22.39
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$20.42
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$37.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$38.90
Typical High
$53.70
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$24.55
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$22.91
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.30
Typical High
$31.62

Where Illinois 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.

Illinois· 4th of 51

$20.42

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.