Prolonged Office or Outpatient Visit, Additional 15 Minutes

Louisiana rates for HCPCS G2212

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified health care professional, with or without direct patient contact (list separately in addition to CPT codes 99205, 99215, 99483 for office or other outpatient evaluation and management services.) (Do not report G2212 on the same date of service as codes 99358, 99359, 99415, 99416). (Do not report G2212 for any time unit less than 15 minutes)

Rates data updated October 2026.

How much does Prolonged Office or Outpatient Visit, Additional 15 Minutes cost?

$31.62

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $26.92 from a hospital or other facility.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$31.62	$31.62 to $33.88
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$26.92	$0.02 to $26.92

How much rates vary

Facilitymedian $27 · 10th to 90th $0 to $27Professionalmedian $32 · 10th to 90th $28 to $40

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $34.67	Facility	None	$30.90	$31.62	$34.67
Aetna Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $34.67	Professional	None	$30.90	$31.62	$34.67
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.85 Typical High $16.98	Professional	52 · Reduced service	$15.49	$15.85	$16.98
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $41.69	Professional	None	$31.62	$31.62	$41.69
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03	Facility	None	$0.02	$0.02	$0.03
Christus Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92	Facility	None	$26.92	$26.92	$26.92
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62	Professional	None	$31.62	$31.62	$31.62
United Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $51.29	Professional	None	$25.70	$33.11	$51.29

Where Louisiana sits

The same service costs 3.1 times more in Alaska than in New York. 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· 39th of 51

$31.62

AK $75.86NY $24.55

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.