CPT 0458T
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
Average
$4.8k
Median
$5.9k
High
$9.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 14.8× 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 | 35 | $7.6k | $9.0k | $4.2k | 47% | — | $1.3k – $21.6k |
| 2 | Anthem fee schedule · outpatient · +2 other terms | 21 | $170 | $223 | $312 | 140% | — | $170 – $2.1k |
| 3 | UnitedHealthcare fee schedule · both · +3 other terms | 18 | $777 | $887 | $817 | 92% | — | $615 – $6.0k |
| 4 | Bcbs Mn fee schedule · outpatient · +1 other terms | 12 | $6.8k | $4.7k | $3.4k | 73% | — | $278 – $8.5k |
| 5 | Cigna fee schedule · outpatient · +2 other terms | 10 | $8.9k | $9.2k | $5.3k | 57% | — | $0 – $20.1k |
| 6 | Humana facility · fee schedule · outpatient · +2 other terms | 9 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 7 | Aetna fee schedule · outpatient · +1 other terms | 8 | $2.4k | $4.2k | $2.0k | 48% | — | $2.1k – $8.2k |
| 8 | Kaiser facility · fee schedule · outpatient · +1 other terms | 7 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 9 | Medical Mutual fee schedule · outpatient | 7 | $7.7k | $7.7k | $1.4k | 18% | — | $6.3k – $9.1k |
| 10 | Bcbs Tx facility · fee schedule · outpatient | 4 | $8.4k | $7.1k | $1.9k | 26% | — | $4.4k – $8.5k |
← Hospitals reporting CPT 0458T · Snapshot 20261113T090226Z-3ce6c0b8