CPT 0058T
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.
Original text from hospital filings
Fee Schedule
Low
$7
Average
$1.1k
Median
$86
High
$17.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 44.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 39 | $594 | $1.5k | $1.6k | 106% | — | $63 – $5.4k |
| 2 | Molina facility · case rate · outpatient · +6 other terms | 27 | $37 | $52 | $33 | 63% | — | $16 – $152 |
| 3 | Anthem fee schedule · outpatient · +4 other terms | 23 | $11 | $16 | $24 | 154% | — | $11 – $145 |
| 4 | Aetna fee schedule · outpatient · +3 other terms | 21 | $144 | $150 | $38 | 25% | — | $63 – $335 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 17 | $24 | $32 | $16 | 51% | — | $16 – $68 |
| 6 | Caresource facility · case rate · outpatient | 15 | $23 | $25 | $6 | 23% | — | $15 – $39 |
| 7 | Cigna fee schedule · outpatient · +2 other terms | 13 | $144 | $144 | $2 | 1% | — | $144 – $159 |
| 8 | Optum facility · case rate · outpatient | 13 | $22 | $29 | $14 | 48% | — | $19 – $59 |
| 9 | Tricare fee schedule · outpatient | 12 | $99 | $97 | $27 | 28% | — | $63 – $180 |
| 10 | Humana fee schedule · outpatient · +2 other terms | 9 | $151 | $1.3k | $2.5k | 198% | — | $82 – $8.3k |
← Hospitals reporting CPT 0058T · Snapshot 20261113T090226Z-3ce6c0b8