APC 05731

Minor procedures, level 1

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GROSS ONLY LEVEL I

Payers reporting APC 05731

Payer pricing summary

Low

$23

Average

$306

Median

$196

High

$1.5k

Payer rate distribution

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Filter by billing class

#
1	Medical Mutual facility · other · outpatient	2	$100	$99	$8	9%	1–10	$91 – $108
2	Humana fee schedule · outpatient · +2 other terms	86	$29	$535	$1.3k	242%	—	$21 – $4.3k
3	Caresource fee schedule · outpatient · +1 other terms	20	$30	$654	$1.4k	220%	—	$29 – $4.2k
4	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	18	$34	$105	$435	415%	—	$16 – $4.4k
5	Aetna facility · fee schedule · outpatient · +4 other terms	15	$28	$32	$11	34%	—	$26 – $90
6	Medicare facility · fee schedule · outpatient · +2 other terms	14	$30	$157	$702	446%	—	$26 – $4.3k
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$28	$677	$1.4k	208%	—	$28 – $4.1k
8	Molina facility · fee schedule · outpatient · +1 other terms	8	$37	$271	$964	356%	—	$27 – $4.5k
9	Anthem facility · fee schedule · outpatient	5	$89	$76	$32	43%	—	$27 – $120
10	Clover fee schedule · outpatient	5	$765	$753	$1.5k	204%	—	$30 – $4.3k
11	Kaiser fee schedule · outpatient · +2 other terms	5	$727	$725	$1.5k	204%	—	$29 – $4.2k
12	WellCare fee schedule · outpatient · +2 other terms	5	$727	$725	$1.5k	204%	—	$29 – $4.2k
13	Aetna Better Health facility · other · outpatient · +1 other terms	4	$17	$17	—	—	—	$17 – $17
14	Ambetter facility · fee schedule · outpatient	4	$47	$775	$2.3k	299%	—	$37 – $8.1k
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$90	$918	$1.7k	186%	—	$31 – $4.5k
16	Devoted facility · fee schedule · outpatient	4	$29	$464	$1.3k	282%	—	$28 – $4.4k
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$32	$33	$2	5%	—	$30 – $34
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$48	$1.5k	$3.0k	204%	—	$29 – $9.4k
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$29	$28	$1	2%	—	$28 – $29
20	Carefirst facility · fee schedule · outpatient	3	$34	$32	$2	6%	—	$30 – $34
21	Medica facility · fee schedule · outpatient	3	$31	$31	$0	0%	—	$31 – $31
22	Bcbs Ca facility · fee schedule · outpatient	2	$115	$106	$49	46%	—	$37 – $141
23	MultiPlan facility · other · outpatient · +1 other terms	2	$46	$46	$8	16%	—	$12 – $48
24	Cigna Healthspring facility · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$24	$24	$3	13%	—	$21 – $30

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