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Office Visit, Established Patient (Straightforward)

Louisiana rates for HCPCS 99212

A brief follow-up appointment with a doctor or other provider the patient has seen before, used for simple, low-complexity issues that don't require much evaluation or decision-making. It's the most basic level of an established-patient office visit, often used for minor concerns or quick check-ins. Visit length and content are limited compared to visits addressing more involved problems.

Rates data updated July 2026.

How much does Office Visit, Established Patient (Straightforward) cost?

$42.66

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $42.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$32.36 to $52.48
FacilityA hospital or hospital-owned outpatient department$42.66$28.84 to $47.86

How much rates vary

Facilitymedian $43 · 10th to 90th $26 to $132Professionalmedian $43 · 10th to 90th $25 to $79
$10.0$20.0$50.0$100.0$200.0$500.0facility $43professional $43

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$79.43
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$169.82
Median
$169.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$42.66
Typical High
$85.11
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$28.84
Median
$56.23
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$51.29
Typical High
$72.44
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$34.67
Median
$53.70
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$42.66
Typical High
$56.23
Christus
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$141.25
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$44.67
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$38.90
Typical High
$70.79
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$52.48
Median
$79.43
Typical High
$100.00

Where Louisiana sits

The same service costs 1.6 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Louisiana $42.66 · 46th of 51
MN $63.10DC $38.90

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.