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Extended Clinical Staff Time During an Office Visit

Missouri 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?

$12.02

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $17.38 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 8 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$11.48$8.71 to $17.38
FacilityA hospital or hospital-owned outpatient department$17.38$13.49 to $25.12

How much rates vary

Facilitymedian $17 · 10th to 90th $9 to $32Professionalmedian $11 · 10th to 90th $8 to $25
$10$20$50$100facility $17professional $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
$13.18
Median
$15.49
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.88
Typical High
$28.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$17.78
Typical High
$33.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$11.22
Typical High
$107.15
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$12.88
Qualchoice
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$21.88
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$26.30

Where Missouri 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.

Missouri· 27th of 51

$12.02

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.