Training an LLM at a frontier lab? Get bulk hospital pricing data.Contact sales@medprice.ai →

Payers and negotiated rates for APC 0865 | medprice.ai

APC 0865

Clinic Visit, Minor Procedure, Observation, or Diagnostic Ancillary Service

Payers reporting APC 0865

i

Payer pricing summary

i

Low

$21

Average

$104

Median

$40

High

$883

Payer rate distribution

i

Filter by billing methodology

Filter by billing class

#
1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$41	$41	$0	1%	—	$40 – $41
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$87	$91	$40	44%	—	$37 – $152
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$41	$41	$0	0%	—	$41 – $41
4	Tricare facility · fee schedule · outpatient	5	$40	$40	—	—	—	$40 – $40
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$40	$40	—	—	—	$40 – $40
6	WellCare facility · fee schedule · outpatient	5	$885	$883	$15	2%	—	$859 – $902
7	Cigna case rate · outpatient	2	$40	$40	—	—	—	$40 – $40
8	Excellus case rate · outpatient	2	$40	$40	—	—	—	$40 – $40
9	Highmark case rate · outpatient	2	$40	$40	—	—	—	$40 – $40
10	Aetna Better Health facility · case rate · outpatient	1	$31	$31	$10	32%	—	$21 – $41
11	Ambetter facility · case rate · outpatient	1	$21	$21	—	—	—	$21 – $21
12	Medicaid facility · case rate · outpatient	1	$21	$21	—	—	—	$21 – $21
13	Molina facility · case rate · outpatient	1	$31	$31	$10	32%	—	$21 – $41

← Hospitals reporting APC 0865 · Snapshot 20261112T181611Z-3fa9fb76