CPT 0171T
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
$1.3k
Average
$8.6k
Median
$6.9k
High
$23.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 10.8× 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 | 24 | $12.0k | $17.4k | $10.5k | 60% | — | $1.8k – $56.4k |
| 2 | Tricare fee schedule · outpatient | 15 | $10.2k | $23.5k | $18.8k | 80% | — | $10.2k – $50k |
| 3 | Wellmark fee schedule · both · +1 other terms | 13 | $1.3k | $1.3k | $129 | 10% | — | $1.3k – $1.5k |
| 4 | Humana facility · fee schedule · outpatient · +1 other terms | 10 | $11.4k | $14.0k | $9.6k | 69% | — | $11.4k – $50k |
| 5 | Oscar facility · fee schedule · outpatient | 8 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 6 | Cigna facility · fee schedule · outpatient · +2 other terms | 7 | $13.7k | $11.6k | $3.7k | 32% | — | $2.4k – $13.7k |
| 7 | Aetna professional · fee schedule · both · +3 other terms | 4 | $1.4k | $1.4k | $459 | 33% | — | $949 – $1.9k |
| 8 | Healthpartners professional · fee schedule · both · +1 other terms | 2 | $3.1k | $3.1k | $1.3k | 41% | — | $1.8k – $4.4k |
| 9 | Molina fee schedule · both | 2 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 10 | Anthem professional · fee schedule · both | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
← Hospitals reporting CPT 0171T · Snapshot 20261113T090226Z-3ce6c0b8