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Payers and negotiated rates for CPT 0100U | medprice.ai

CPT 0100U

Fee Schedule

Payer pricing summary

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Low

$49

Average

$617

Median

$538

High

$1.6k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 13 Fee schedule 14 Per diem 1 Percent of billed charges 15 Other 4

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +6 other terms	31	$249	$274	$129	47%	—	$68 – $715
2	Molina facility · case rate · outpatient · +7 other terms	27	$72	$85	$43	51%	—	$31 – $212
3	UnitedHealthcare facility · case rate · outpatient · +9 other terms	18	$48	$60	$23	39%	—	$31 – $107
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	17	$1.6k	$1.1k	$943	83%	—	$229 – $5.0k
5	Caresource facility · case rate · outpatient	15	$45	$49	$11	23%	—	$30 – $77
6	Humana facility · fee schedule · outpatient · +6 other terms	15	$299	$2.1k	$7.8k	371%	—	$164 – $50k
7	Cigna facility · fee schedule · outpatient · +5 other terms	13	$1.4k	$1.4k	$112	8%	—	$995 – $1.5k
8	Optum facility · case rate · outpatient	13	$43	$53	$19	36%	—	$38 – $93
9	Wellmark fee schedule · both · +3 other terms	13	$311	$311	—	—	—	$311 – $311
10	Aetna facility · fee schedule · outpatient · +7 other terms	8	$284	$2.5k	$4.0k	158%	—	$284 – $13.9k

Page 1 of 3 · 23 payers

← Hospitals reporting CPT 0100U · Snapshot 20261113T090226Z-3ce6c0b8