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Extended Clinical Staff Time During an Office Visit

Nebraska 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?

$16.22

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $20.89 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$16.22$9.33 to $19.50
FacilityA hospital or hospital-owned outpatient department$20.89$15.49 to $30.20

How much rates vary

Facilitymedian $21 · 10th to 90th $12 to $39Professionalmedian $16 · 10th to 90th $8 to $34
$10$20$50$100$200$500facility $21professional $16

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
$16.98
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$14.45
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$467.74
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$19.05
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$20.89
Typical High
$33.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$15.14
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.99
Typical High
$39.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$45.71
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.72
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.80
Typical High
$42.66

Where Nebraska 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.

Nebraska· 13th of 51

$16.22

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.