Prolonged service without direct patient contact

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

PR Prolonged E&M Svc Before and/or After Dir Pt Care Ea Add 30 Min

Payers reporting CPT 99359

Payer pricing summary

Low

Average

$7.2k

Median

$92

High

$156.8k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	139	$171	$186	$99	53%	—	$0 – $539
2	Humana fee schedule · outpatient · +21 other terms	138	$102	$283	$841	297%	—	$30 – $8.3k
3	UnitedHealthcare fee schedule · outpatient · +28 other terms	100	$38	$59	$33	56%	—	$1 – $152
4	Aetna fee schedule · outpatient · +24 other terms	90	$42	$452	$1.4k	321%	—	$20 – $8.4k
5	Anthem fee schedule · outpatient · +17 other terms	57	$39	$47	$6	12%	—	$35 – $51
6	Cigna fee schedule · outpatient · +24 other terms	49	$58	$57	$23	40%	—	$37 – $133
7	Kaiser fee schedule · outpatient · +12 other terms	32	$39	$100	$100	100%	—	$37 – $523
8	Bcbs Tx fee schedule · outpatient · +1 other terms	29	$218	$199	$74	37%	—	$64 – $368
9	Molina facility · case rate · outpatient · +15 other terms	25	$56	$55	$19	34%	—	$20 – $98
10	Devoted fee schedule · outpatient · +5 other terms	21	$37	$38	$1	3%	—	$37 – $39
11	Caresource facility · case rate · outpatient · +9 other terms	20	$60	$62	$15	25%	—	$35 – $100
12	Medicare fee schedule · outpatient · +4 other terms	18	$39	$39	—	—	—	$39 – $39
13	Medica fee schedule · outpatient · +13 other terms	15	$113	$117	$39	33%	—	$35 – $163
14	Highmark fee schedule · outpatient · +11 other terms	14	$40	$44	$19	44%	—	$38 – $180
15	Medicaid fee schedule · outpatient · +1 other terms	14	$152	$132	$45	34%	—	$34 – $219
16	WellCare case rate · outpatient · +10 other terms	14	$39	$39	$2	6%	—	$35 – $43
17	Wellmark fee schedule · both · +6 other terms	13	$51	$51	$1	1%	—	$51 – $55
18	Aetna Better Health fee schedule · outpatient · +6 other terms	12	$31	$33	$2	6%	—	$31 – $35
19	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$92	$58	$51	87%	—	$0 – $115
20	Bcbs Nj fee schedule · outpatient	12	$29	$29	—	—	—	$29 – $29
21	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$37	$37	—	—	—	$37 – $37
22	Optum facility · case rate · outpatient · +7 other terms	12	$53	$56	$15	26%	—	$37 – $89
23	Bcbs Nc fee schedule · both · +2 other terms	11	$106	$106	—	—	—	$106 – $106
24	Medical Mutual facility · fee schedule · outpatient · +7 other terms	10	$38	$47	$10	21%	—	$38 – $60
25	Tricare professional · fee schedule · outpatient · +12 other terms	10	$34	$34	$4	11%	—	$29 – $43

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