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Eye Exam, Established Patient, Intermediate

Louisiana rates for HCPCS 92012

This is a medical eye examination for a patient who has previously been seen by the practice, covering a moderate level of evaluation and continuing or adjusting an existing treatment plan. It's typically used for routine follow-up of an existing eye condition rather than a new or highly complex problem.

Rates data updated July 2026.

How much does Eye Exam, Established Patient, Intermediate cost?

$67.61

Typical physician fee. In Louisiana, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $52.48 to $89.13.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $110 · 10th to 90th $110 to $110Professionalmedian $68 · 10th to 90th $42 to $102
$50$100facility $110professional $68

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$102.33
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$97.72
Christus
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$58.88
Typical High
$95.50

Where Louisiana sits

The same service costs 1.9 times more in Montana 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.

Louisiana· 41st of 51

$67.61

MT $97.72DE $51.29

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.