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Extended Clinical Staff Time During an Office Visit

Kentucky 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?

$9.55

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $21.88 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 6 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$9.55$8.32 to $15.49
FacilityA hospital or hospital-owned outpatient department$21.88$15.85 to $30.90

How much rates vary

Facilitymedian $22 · 10th to 90th $14 to $31Professionalmedian $10 · 10th to 90th $7 to $21
$10$20$50$100facility $22professional $10

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
$13.80
Median
$15.85
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$19.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$26.92
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
$14.79
Median
$20.42
Typical High
$26.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$15.49
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.55
Typical High
$19.50

Where Kentucky 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.

Kentucky· 42nd of 51

$9.55

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.