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Payers and negotiated rates for CPT 0098U | medprice.ai

CPT 0098U

Fee Schedule

Payer pricing summary

i

Low

$49

Average

$1.4k

Median

$248

High

$17.5k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 13 Fee schedule 13 Per diem 1 Percent of billed charges 0 Other 3

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +6 other terms	31	$248	$268	$114	42%	—	$68 – $715
2	Molina facility · case rate · outpatient · +4 other terms	27	$72	$85	$43	51%	—	$31 – $212
3	UnitedHealthcare facility · case rate · outpatient · +5 other terms	18	$48	$60	$23	39%	—	$31 – $107
4	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	17	$1.6k	$1.1k	$948	84%	—	$229 – $5.0k
5	Caresource facility · case rate · outpatient	15	$45	$49	$11	23%	—	$30 – $77
6	Humana facility · fee schedule · outpatient · +3 other terms	15	$248	$2.0k	$7.8k	398%	—	$136 – $50k
7	Cigna facility · fee schedule · outpatient · +1 other terms	13	$1.1k	$1.2k	$93	8%	—	$826 – $1.3k
8	Optum facility · case rate · outpatient	13	$43	$53	$19	36%	—	$38 – $93
9	Wellmark fee schedule · both · +1 other terms	13	$258	$258	—	—	—	$258 – $258
10	Aetna facility · fee schedule · outpatient · +4 other terms	8	$235	$2.3k	$4.0k	171%	—	$235 – $13.9k

Page 1 of 2 · 18 payers

← Hospitals reporting CPT 0098U · Snapshot 20261113T090226Z-3ce6c0b8