Extended outpatient visit time beyond the standard service

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 PROLNG OP E/M EA 15 MIN

Payers reporting CPT 99417

Payer pricing summary

Low

$17

Average

$75

Median

$63

High

$301

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Ucare professional · fee schedule · outpatient · +15 other terms	22	$28	$28	$6	20%	23–41	$16 – $38
2	Premera professional · fee schedule · both · +8 other terms	8	$42	$46	$9	19%	3–30	$36 – $61
3	Tricare professional · fee schedule · outpatient · +17 other terms	22	$27	$27	$3	10%	2–20	$23 – $32
4	Oscar professional · fee schedule · both · +9 other terms	6	$41	$42	$4	9%	2–20	$36 – $46
5	Optum professional · fee schedule · outpatient · +13 other terms	22	$31	$29	$5	17%	1–10	$22 – $35
6	Highmark professional · fee schedule · both · +15 other terms	19	$31	$35	$12	34%	1–10	$19 – $61
7	Carefirst professional · fee schedule · both · +9 other terms	15	$33	$36	$13	35%	1–10	$19 – $61
8	Humana fee schedule · outpatient · +25 other terms	189	$26	$39	$25	64%	—	$1 – $152
9	UnitedHealthcare fee schedule · outpatient · +34 other terms	180	$36	$55	$41	75%	—	$1 – $239
10	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	152	$99	$105	$67	64%	—	$0 – $975
11	Aetna fee schedule · outpatient · +30 other terms	139	$32	$208	$930	448%	—	$1 – $8.4k
12	Cigna fee schedule · outpatient · +25 other terms	92	$42	$66	$45	68%	—	$19 – $187
13	Anthem fee schedule · outpatient · +19 other terms	65	$31	$32	$6	19%	—	$16 – $71
14	Molina fee schedule · outpatient · +23 other terms	41	$28	$42	$52	125%	—	$1 – $390
15	Kaiser fee schedule · outpatient · +18 other terms	36	$32	$79	$94	119%	—	$30 – $523
16	Caresource fee schedule · outpatient · +17 other terms	34	$25	$107	$82	77%	—	$1 – $189
17	Bcbs Tx fee schedule · outpatient · +3 other terms	29	$133	$122	$46	37%	—	$39 – $225
18	Medica fee schedule · outpatient · +18 other terms	26	$90	$91	$41	45%	—	$10 – $149
19	WellCare fee schedule · outpatient · +18 other terms	24	$28	$29	$6	20%	—	$14 – $36
20	Devoted fee schedule · outpatient · +14 other terms	23	$30	$44	$59	135%	—	$30 – $319
21	First Health professional · fee schedule · both · +15 other terms	21	$20	$24	$14	56%	—	$1 – $57
22	Medicaid fee schedule · outpatient · +11 other terms	20	$75	$85	$58	68%	—	$1 – $390
23	Excellus professional · fee schedule · both · +11 other terms	18	$28	$31	$12	37%	—	$19 – $72
24	Medicare fee schedule · outpatient · +13 other terms	18	$32	$32	—	—	—	$32 – $32
25	Regence fee schedule · outpatient · +12 other terms	18	$42	$49	$38	76%	—	$28 – $298

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