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
$22
Average
$658
Median
$147
High
$4.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 19.8× 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 · +2 other terms | 39 | $594 | $1.5k | $1.6k | 106% | — | $63 – $5.4k |
| 2 | Anthem fee schedule · outpatient · +2 other terms | 23 | $11 | $16 | $24 | 154% | — | $11 – $145 |
| 3 | Aetna fee schedule · outpatient · +1 other terms | 21 | $144 | $150 | $38 | 25% | — | $63 – $335 |
| 4 | Cigna fee schedule · outpatient | 13 | $144 | $144 | $2 | 1% | — | $144 – $159 |
| 5 | Tricare fee schedule · outpatient | 12 | $99 | $97 | $27 | 28% | — | $63 – $180 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 12 | $56 | $59 | $19 | 31% | — | $43 – $129 |
| 7 | Humana fee schedule · outpatient · +1 other terms | 9 | $151 | $1.3k | $2.5k | 198% | — | $82 – $8.3k |
| 8 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $127 | $128 | $43 | 33% | — | $65 – $159 |
| 9 | Molina fee schedule · both · +2 other terms | 2 | $54 | $54 | — | — | — | $54 – $54 |
| 10 | MultiPlan fee schedule · outpatient | 1 | $150 | $150 | $87 | 58% | — | $63 – $237 |
← Hospitals reporting CPT 0058T · Snapshot 20261113T090226Z-3ce6c0b8