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Extended Clinical Staff Time During an Office Visit

Indiana 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?

$11.22

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $15.85 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 5 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$11.22$8.71 to $16.98
FacilityA hospital or hospital-owned outpatient department$15.85$10.00 to $29.51

How much rates vary

Facilitymedian $16 · 10th to 90th $7 to $30Professionalmedian $11 · 10th to 90th $8 to $21
$10$20facility $16professional $11

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
$6.76
Median
$27.54
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$13.49
Typical High
$19.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$23.44
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$18.20
Typical High
$22.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.23
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$20.89

Where Indiana 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.

Indiana· 28th of 51

$11.22

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.