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Extended Clinical Staff Time During an Office Visit

North Dakota 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?

$19.50

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $14.13 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 5 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$19.50$9.12 to $43.65
FacilityA hospital or hospital-owned outpatient department$14.13$10.00 to $19.50

How much rates vary

Facilitymedian $14 · 10th to 90th $10 to $30Professionalmedian $19 · 10th to 90th $9 to $51
$10$20$50facility $14professional $19

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
$10.00
Median
$10.00
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.33
Typical High
$19.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$38.90
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$18.20
Typical High
$35.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$15.85
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$44.67

Where North Dakota 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 Dakota· 6th of 51

$19.50

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.