CPT 0631T
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
Tc vis lit hyperspectral img
Low
$12
Average
$56
Median
$43
High
$265
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
51 payers; the 90th percentile is 4.3× 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 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 154 | $27 | $234 | $443 | 189% | — | $12 – $2.7k |
| 2 | Aetna fee schedule · outpatient · +14 other terms | 138 | $27 | $85 | $133 | 158% | — | $22 – $828 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 134 | $83 | $213 | $583 | 273% | — | $1 – $3.6k |
| 4 | Humana fee schedule · outpatient · +11 other terms | 129 | $25 | $64 | $88 | 136% | — | $22 – $303 |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 66 | $24 | $30 | $12 | 39% | — | $23 – $57 |
| 6 | Anthem fee schedule · outpatient · +11 other terms | 64 | $43 | $81 | $30 | 37% | — | $23 – $147 |
| 7 | Cigna fee schedule · outpatient · +10 other terms | 42 | $25 | $36 | $19 | 53% | — | $23 – $78 |
| 8 | Molina fee schedule · outpatient · +6 other terms | 40 | $25 | $26 | $3 | 12% | — | $23 – $40 |
| 9 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $96 | $101 | $43 | 42% | — | $23 – $212 |
| 10 | Ambetter other · inpatient · +5 other terms | 31 | $39 | $37 | $6 | 17% | — | $30 – $47 |
← Hospitals reporting CPT 0631T · Snapshot 20261113T090226Z-3ce6c0b8