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Extended Clinical Staff Time During an Office Visit

Nevada 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?

$9.33

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $9.33 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 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$9.33$8.51 to $15.49
FacilityA hospital or hospital-owned outpatient department$20.89$17.78 to $20.89

How much rates vary

Facilitymedian $21 · 10th to 90th $8 to $23Professionalmedian $9 · 10th to 90th $8 to $21
$10$20$50facility $21professional $9

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.18
Typical High
$30.20
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$22.91
Typical High
$34.67
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Select Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.89
Typical High
$22.91
Select Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.00
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.30
Typical High
$29.51

Where Nevada 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.

Nevada· 47th of 51

$9.33

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.