go back

Louisiana rates for HCPCS 99212

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.

Facilitymedian $43 · 10th–90th $26–$2570%10%20%10th90th$43Professionalmedian $51 · 10th–90th $28–$1020%10%10th90th$51$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $39.81 / $131.83
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$173.78 / $457.09 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $48.98 / $97.72
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$30.20 / $54.95 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $51.29 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$35.48 / $53.70 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $42.66 / $56.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $42.66 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $141.25 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $44.67 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $38.90 / $64.57
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$52.48 / $79.43 / $89.13