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Comprehensive Specialist Consultation Visit

Louisiana rates for HCPCS 99245

This is an in-depth office visit where a specialist evaluates a patient at the request of another provider, involving a thorough review of the patient's history, a detailed examination, and complex medical decision-making. It represents the most involved level of this type of consultation, typically used for patients with complicated or multiple medical problems. A written report is usually sent back to the referring provider afterward.

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $178$2510%20%10th90th$204Professionalmedian $195 · 10th–90th $145$2750%10%20%10th90th$195$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$234.42
Christus
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$199.53
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$323.59