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Payers and negotiated rates for CPT 0056U | medprice.ai

CPT 0056U

Fee Schedule

Payer pricing summary

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Low

$1

Average

$3.5k

Median

$2.2k

High

$17.5k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 13 Fee schedule 17 Per diem 1 Percent of billed charges 0 Other 5

Filter by billing class

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#
1	Cigna fee schedule · outpatient · +4 other terms	53	$4.7k	$4.2k	$1.7k	41%	—	$2.5k – $8.5k
2	Molina facility · case rate · outpatient · +4 other terms	27	$989	$1.1k	$520	48%	—	$426 – $2.8k
3	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	26	$3.8k	$5.2k	$4.2k	80%	—	$188 – $12.4k
4	UnitedHealthcare facility · fee schedule · outpatient · +7 other terms	23	$2.6k	$2.7k	$769	29%	—	$815 – $5.7k
5	Aetna fee schedule · outpatient · +6 other terms	21	$2.5k	$2.8k	$975	34%	—	$2.5k – $6.2k
6	Anthem fee schedule · outpatient · +6 other terms	21	$242	$309	$393	127%	—	$242 – $2.6k
7	Humana fee schedule · outpatient · +3 other terms	18	$6.3k	$6.2k	$2.3k	37%	—	$2.7k – $9.5k
8	Caresource facility · case rate · outpatient	15	$620	$666	$153	23%	—	$414 – $1.1k
9	Optum facility · case rate · outpatient	13	$586	$704	$216	31%	—	$518 – $1.1k
10	Wellmark fee schedule · both · +1 other terms	13	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k

Page 1 of 3 · 22 payers

← Hospitals reporting CPT 0056U · Snapshot 20261113T090226Z-3ce6c0b8