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Office Visit, Established Patient (Low Complexity)

Louisiana rates for HCPCS 99213

A standard follow-up appointment with a doctor or other provider the patient has seen before, used for common, everyday medical concerns that require some evaluation and decision-making but aren't highly complex. It's one of the most frequently used visit levels for routine follow-ups, such as checking on a stable chronic condition or addressing a new but uncomplicated symptom. It sits between the most basic and more complex visit levels.

Rates data updated July 2026.

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

$75.86

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $72.44 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$75.86$60.26 to $95.50
FacilityA hospital or hospital-owned outpatient department$72.44$54.95 to $93.33

How much rates vary

Facilitymedian $72 · 10th to 90th $51 to $178Professionalmedian $76 · 10th to 90th $49 to $174
$20$50$100$200$500facility $72professional $76

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
$51.29
Median
$72.44
Typical High
$338.84
Aetna
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$40.74
Median
$190.55
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$75.86
Typical High
$173.78
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$52.48
Median
$83.18
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$87.10
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$91.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$109.65
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$79.43
Median
$97.72
Typical High
$141.25

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. Touch or drag across it to read any state, then open that state for its carriers and full range.

Louisiana· 43rd of 51

$75.86

MN $97.72DC $61.66

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.