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Extended Clinical Staff Time During an Office Visit

Virginia 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?

$10.96

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $13.18 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$10.23$8.71 to $16.22
FacilityA hospital or hospital-owned outpatient department$13.18$10.00 to $20.42

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $29Professionalmedian $10 · 10th to 90th $8 to $20
$10$20$50facility $13professional $10

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
$8.71
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$19.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.49
Typical High
$30.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$35.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$16.22
Typical High
$31.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$14.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$23.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.02
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$8.13
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$11.75
Typical High
$21.38

Where Virginia 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.

Virginia· 32nd of 51

$10.96

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.