go back

Extended Clinical Staff Time During an Office Visit

Michigan 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?

$13.80

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $18.62 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$13.80$8.71 to $20.89
FacilityA hospital or hospital-owned outpatient department$18.62$18.62 to $32.36

How much rates vary

Facilitymedian $19 · 10th to 90th $9 to $34Professionalmedian $14 · 10th to 90th $8 to $38
$10$20$50$100$200facility $19professional $14

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
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$18.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$37.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.60
Typical High
$48.98
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$22.39
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$24.55
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$38.90
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.94
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$27.54

Where Michigan 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.

Michigan· 20th of 51

$13.80

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.