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Extended Clinical Staff Time During an Office Visit

Maryland 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 physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $11.22 for this service. Most negotiated rates run $8.71 to $18.62.

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.

How much rates vary

Facilitymedian $8 · 10th to 90th $6 to $17Professionalmedian $11 · 10th to 90th $8 to $24
$10$20$50facility $8professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$19.95
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.13
Typical High
$30.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$7.59
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$27.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$24.55
Typical High
$35.48

Where Maryland 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.

Maryland· 30th 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.