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Prolonged Outpatient Visit Time, Each Extra 15 Minutes

Maine 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 October 2026.

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

$32.36

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $32.36 for this service. Most negotiated rates run $27.54 to $38.90.

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.

How much rates vary

Professionalmedian $32 · 10th to 90th $22 to $52
$20$50professional $32

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$27.54
Typical High
$44.67
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.80
Median
$14.45
Typical High
$14.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$34.67
Typical High
$51.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$34.67
Typical High
$54.95
Community Health Options
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$38.90
Typical High
$60.26
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$27.54
Typical High
$44.67
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.80
Median
$14.45
Typical High
$14.45
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$34.67
Typical High
$57.54

Where Maine sits

The same service costs 2.5 times more in Alaska than in New York. 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.

Maine· 24th of 51

$32.36

AK $60.26NY $23.99

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.