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Extended Clinical Staff Time During an Office Visit

Oregon 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?

$19.05

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $23.44 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$18.62$9.55 to $41.69
FacilityA hospital or hospital-owned outpatient department$23.44$16.22 to $40.74

How much rates vary

Facilitymedian $23 · 10th to 90th $11 to $41Professionalmedian $19 · 10th to 90th $8 to $52
$10$20$50facility $23professional $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
$17.78
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.47
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$22.91
Typical High
$56.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$58.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$19.95
Typical High
$37.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$42.66
Typical High
$57.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$33.88
Typical High
$40.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$19.95
Typical High
$39.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$38.90
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$33.88
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$18.20
Typical High
$35.48

Where Oregon 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.

Oregon· 7th of 51

$19.05

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.