Extra time with patient in outpatient visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CV PROLONGED E/M ADD'L 30 MIN

Payers reporting CPT 99355

Payer pricing summary

Low

$17

Average

$325

Median

$171

High

$3.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +13 other terms	48	$66	$348	$1.2k	354%	—	$7 – $8.3k
2	UnitedHealthcare fee schedule · both · +20 other terms	33	$63	$73	$46	63%	—	$15 – $133
3	Anthem fee schedule · both · +8 other terms	26	$69	$82	$33	41%	—	$69 – $180
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	26	$283	$344	$215	63%	—	$0 – $672
5	Caresource facility · case rate · outpatient · +3 other terms	15	$59	$63	$14	23%	—	$39 – $100
6	Molina facility · case rate · outpatient · +6 other terms	15	$58	$63	$15	23%	—	$40 – $98
7	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$60	$60	$5	8%	—	$55 – $65
8	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$17	$17	$5	32%	—	$9 – $31
9	Wellmark fee schedule · both · +2 other terms	13	$138	$138	—	—	—	$138 – $138
10	Amerihealth Caritas fee schedule · both · +2 other terms	12	$78	$78	—	—	—	$78 – $78
11	WellCare fee schedule · both · +2 other terms	12	$78	$78	$0	0%	—	$77 – $78
12	Cigna fee schedule · both · +16 other terms	11	$144	$203	$134	66%	—	$93 – $446
13	Optum facility · case rate · outpatient · +4 other terms	11	$54	$60	$13	22%	—	$49 – $89
14	Aetna facility · fee schedule · outpatient · +15 other terms	10	$89	$1.1k	$3.6k	330%	—	$34 – $13.9k
15	Devoted facility · fee schedule · outpatient · +1 other terms	8	$55	$62	$13	21%	—	$51 – $95
16	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$157	$158	$53	33%	—	$81 – $196
17	First Health fee schedule · both · +5 other terms	5	$107	$107	—	—	—	$107 – $107
18	Medicare facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$94	$99	$7	7%	—	$94 – $111
19	Ambetter fee schedule · both · +9 other terms	4	$164	$164	$7	4%	—	$151 – $172
20	Phcs fee schedule · both · +5 other terms	4	$249	$249	—	—	—	$249 – $249
21	Tricare facility · fee schedule · outpatient · +5 other terms	4	$149	$109	$99	91%	—	$31 – $258
22	Bcbs Tx facility · fee schedule · outpatient · +1 other terms	3	$324	$324	$8	2%	—	$313 – $329
23	Medcost professional · fee schedule · inpatient · +2 other terms	3	$148	$148	—	—	—	$148 – $148
24	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	3	$182	$6.8k	$13.3k	196%	—	$92 – $33.5k
25	Regence facility · percent of total billed charges · outpatientfrom % of charges	3	$178	$177	$76	43%	—	$90 – $253

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