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
Prgrmg Dev Eval Scrms Phys/Qhp Remote
Low
$17
Average
$176
Median
$63
High
$3.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 5.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +20 other terms | 301 | $40 | $60 | $38 | 63% | — | $1 – $255 |
| 2 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 249 | $37 | $58 | $57 | 98% | — | $1 – $1.1k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 223 | $72 | $82 | $48 | 59% | — | $0 – $338 |
| 4 | Humana fee schedule · outpatient · +20 other terms | 217 | $37 | $54 | $40 | 73% | — | $1 – $211 |
| 5 | Cigna fee schedule · outpatient · +17 other terms | 126 | $38 | $55 | $34 | 62% | — | $35 – $193 |
| 6 | WellCare fee schedule · outpatient · +11 other terms | 111 | $38 | $44 | $14 | 32% | — | $35 – $87 |
| 7 | Molina fee schedule · outpatient · +16 other terms | 94 | $43 | $51 | $24 | 47% | — | $1 – $237 |
| 8 | Anthem fee schedule · outpatient · +17 other terms | 71 | $37 | $76 | $67 | 88% | — | $35 – $273 |
| 9 | Kaiser fee schedule · outpatient · +8 other terms | 64 | $53 | $70 | $45 | 64% | — | $37 – $275 |
| 10 | Devoted fee schedule · outpatient · +6 other terms | 61 | $37 | $38 | $2 | 5% | — | $35 – $42 |
| 11 | Ambetter fee schedule · outpatient · +10 other terms | 37 | $70 | $72 | $13 | 18% | — | $48 – $90 |
| 12 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $145 | $152 | $64 | 42% | — | $35 – $320 |
| 13 | Optum fee schedule · outpatient · +12 other terms | 32 | $37 | $51 | $27 | 53% | — | $34 – $138 |
| 14 | Clover fee schedule · outpatient · +5 other terms | 31 | $41 | $40 | $3 | 6% | — | $34 – $44 |
| 15 | Caresource facility · case rate · outpatient · +8 other terms | 24 | $25 | $37 | $19 | 51% | — | $14 – $76 |
| 16 | Medicare fee schedule · outpatient · +7 other terms | 24 | $37 | $37 | $1 | 2% | — | $34 – $37 |
| 17 | Oscar facility · fee schedule · outpatient · +8 other terms | 19 | $53 | $54 | $7 | 13% | — | $43 – $70 |
| 18 | Regence fee schedule · outpatient · +9 other terms | 18 | $79 | $89 | $35 | 39% | — | $42 – $197 |
| 19 | Highmark fee schedule · outpatient · +3 other terms | 16 | $50 | $52 | $24 | 45% | — | $17 – $237 |
| 20 | Tricare fee schedule · outpatient · +7 other terms | 16 | $36 | $147 | $165 | 113% | — | $34 – $392 |
| 21 | MultiPlan fee schedule · outpatient · +11 other terms | 15 | $60 | $60 | $5 | 8% | — | $35 – $60 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 14 | $35 | $45 | $29 | 64% | — | $19 – $140 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $39 | $49 | $28 | 57% | — | $17 – $133 |
| 24 | Wellmark fee schedule · both · +4 other terms | 13 | $40 | $40 | $15 | 37% | — | $25 – $60 |
| 25 | Aetna Better Health fee schedule · outpatient · +8 other terms | 12 | $56 | $47 | $10 | 22% | — | $35 – $56 |
← Hospitals reporting CPT 0650T · Snapshot 20261113T090226Z-3ce6c0b8