What does UnitedHealthcare pay for CPT 20611 in Louisiana?

Based on UnitedHealthcare's published Transparency in Coverage file, the median in-network office rate for CPT 20611 in Louisiana is $96.72, with most rates falling between $84.15 and $119.95. This is drawn from 1,019 negotiated rates in the file.

How does that compare to Medicare?

Medicare's non-facility (office) allowed amount for CPT 20611 in Louisiana is about $98.88. UnitedHealthcare's median of $96.72 is roughly 98 percent of the Medicare rate.

If UnitedHealthcare pays you below $96.72 for CPT 20611 in Louisiana, you are being paid less than the middle of what they pay across the market. That does not automatically mean the contract is bad, but it usually means there is room to ask for more. A fee-schedule review will tell you where you stand.

What UnitedHealthcare Pays for CPT 20611 in Louisiana

CPT 20611. Office place of service. Straight from UnitedHealthcare's own Transparency in Coverage file.

Median $96.72

98% of Medicare

1,019 rates

Office setting

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HIPAA Compliant

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4.9/5 Rating

300+ Practices

Median rate

$96.72

across 1,019 published rates

Typical range

$84.15

25th percentile

$119.95

75th percentile

vs Medicare

98%

Medicare pays $98.88

What each payer pays for 20611 in Louisiana

Same code, same office setting, same state. Every figure comes from that payer’s own Transparency in Coverage file. The highest published median here is 1.30x the lowest.

Cigna

Open Access Plus national network (August 2026 TiC file)

$125.44

127% of Medicare

$107.61 to $156.94 middle range · 138 ratesDetail

UnitedHealthcarethis page

Choice Plus national network (August 2026 TiC file)

$96.72

98% of Medicare

$84.15 to $119.95 middle range · 1,019 rates

Medicare

Non-facility allowed amount, Louisiana

$98.88

These payers do not structure their files identically, so read the methodology before treating any single figure as your rate.

When a Louisiana practice bills UnitedHealthcare for CPT 20611, the file shows a median negotiated office rate of $96.72. Half of the rates in the file sit above that number and half below, and most cluster between $84.15 and $119.95. Against the Medicare office rate of $98.88 for the same code and state, the median lands at about 98 percent of Medicare.

The spread matters as much as the median. A wide gap between the 25th and 75th percentile means UnitedHealthcare pays very differently for the same work depending on who negotiated the contract. If you are near the bottom of that range, the payer is already paying other Louisiana practices more for identical claims, which is exactly the argument that moves a fee-schedule negotiation.

Rate Reality Check

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What UnitedHealthcare pays you for 20611 (per claim)

$84.15 (25th)$96.72 (median)$119.95 (75th)

Based on 1,019 published rates. Medicare pays about $98.88 here.

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CPT 20611 coding and billing All UnitedHealthcare rates How we build these numbers Fee-schedule negotiation

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