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Extended Clinical Staff Time During an Office Visit

Vermont 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?

$9.55

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $9.55 for this service. Most negotiated rates run $8.91 to $14.13.

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.

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $26Professionalmedian $10 · 10th to 90th $7 to $25
$10$20$50facility $9professional $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. 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
$8.91
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.12
Typical High
$14.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$25.12
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.02
Typical High
$25.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.45
Typical High
$36.31

Where Vermont 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.

Vermont· 44th of 51

$9.55

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.