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Extended Clinical Staff Time During an Office Visit

South 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?

$18.20

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $19.95 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 7 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$18.20$12.59 to $24.55
FacilityA hospital or hospital-owned outpatient department$19.95$15.49 to $30.90

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $40Professionalmedian $18 · 10th to 90th $9 to $40
$10$20$50$100facility $20professional $18

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
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$18.20
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$32.36
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$19.95
Typical High
$39.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.80
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$39.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$19.50
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$28.18
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$15.14
Typical High
$43.65
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$32.36

Where South 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.

South Dakota· 8th of 51

$18.20

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.