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Extended Clinical Staff Time During an Office Visit

Montana 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?

$14.45

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $25.70 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$14.13$8.71 to $26.92
FacilityA hospital or hospital-owned outpatient department$25.70$14.45 to $35.48

How much rates vary

Facilitymedian $26 · 10th to 90th $11 to $37Professionalmedian $14 · 10th to 90th $8 to $32
$10$20$50facility $26professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$13.18
Typical High
$26.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$32.36
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.60
Typical High
$44.67
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$35.48
Typical High
$37.15
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$35.48
Typical High
$37.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$19.50
Typical High
$35.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$27.54
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.45
Typical High
$20.89

Where Montana 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.

Montana· 16th of 51

$14.45

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.