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Extended Clinical Staff Time During an Office Visit

North Carolina 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?

$14.79

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $12.88 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$14.79$11.48 to $21.88
FacilityA hospital or hospital-owned outpatient department$12.88$9.55 to $22.39

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $30Professionalmedian $15 · 10th to 90th $9 to $27
$10$20$50$100facility $13professional $15

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
$9.55
Median
$20.89
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.55
Typical High
$26.92
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$20.42
Typical High
$21.88
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.98
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.13
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$12.02
Typical High
$29.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$26.30
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$32.36
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$20.89
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.72
Typical High
$23.99
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23

Where North Carolina 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.

North Carolina· 15th of 51

$14.79

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.