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Prolonged Outpatient Visit Time, Each Extra 15 Minutes

Connecticut rates for HCPCS 99417

When an outpatient visit is billed on the basis of the total time the doctor or other qualified professional spent on it, this covers each further 15 minutes beyond the time the main visit already accounts for. The time counted takes in work done on the day of the visit without the patient present, such as reviewing records and writing up the notes. It is billed in addition to the main visit and applies to outpatient visits generally, not only to visits in an office.

Facilitymedian $40 · 10th–90th $32$690%10%20%10th90th$40Professionalmedian $47 · 10th–90th $24$2750%5%10%10th90th$47$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$46.77
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$34.67
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$69.18
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$48.98
Typical High
$63.10
Health New England
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$56.23
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$61.66