go back

Extended Clinical Staff Time During an Office Visit

Massachusetts 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?

$17.38

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $23.44 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$16.98$9.33 to $33.88
FacilityA hospital or hospital-owned outpatient department$23.44$13.80 to $30.20

How much rates vary

Facilitymedian $23 · 10th to 90th $9 to $41Professionalmedian $17 · 10th to 90th $8 to $55
$10$20$50$100facility $23professional $17

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
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$20.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.79
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.98
Typical High
$48.98
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$25.12
Typical High
$38.02
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$26.92
Typical High
$33.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$38.90
Typical High
$60.26
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.79
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$20.89
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$27.54
Typical High
$60.26

Where Massachusetts 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.

Massachusetts· 11th of 51

$17.38

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.