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Prolonged Outpatient Visit Time, Each Extra 15 Minutes

Idaho 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.

Rates data updated July 2026.

How much does Prolonged Outpatient Visit Time, Each Extra 15 Minutes cost?

$38.90

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $38.02 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$38.90$28.84 to $63.10
FacilityA hospital or hospital-owned outpatient department$38.02$30.20 to $48.98

How much rates vary

Facilitymedian $38 · 10th to 90th $27 to $60Professionalmedian $39 · 10th to 90th $24 to $83
$20$50$100facility $38professional $39

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
Professional
Modifier
Global
Typical Low
$23.44
Median
$37.15
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$57.54
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$61.66
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$61.66
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$66.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$46.77
Typical High
$48.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$70.79
Select Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$66.07

Where Idaho sits

The same service costs 1.8 times more in Minnesota than in Delaware. 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.

Idaho· 11th of 51

$38.90

MN $48.98DE $26.92

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.