CPT 0694T
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
3d vol img&rcnstj brst/ax
Low
$0
Average
$397
Median
$137
High
$2.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 33.9× 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 · +5 other terms | 121 | $97 | $110 | $89 | 82% | — | $0 – $593 |
| 2 | Aetna fee schedule · outpatient · +10 other terms | 67 | $81 | $82 | $57 | 69% | — | $1 – $363 |
| 3 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $123 | $124 | $37 | 30% | — | $51 – $231 |
| 4 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 30 | $40 | $40 | $37 | 92% | — | $1 – $133 |
| 5 | Humana fee schedule · outpatient · +9 other terms | 20 | $90 | $83 | $36 | 43% | — | $1 – $162 |
| 6 | Anthem fee schedule · outpatient · +9 other terms | 17 | $67 | $67 | — | — | — | $67 – $67 |
| 7 | Caresource facility · case rate · outpatient · +5 other terms | 15 | $80 | $86 | $20 | 23% | — | $53 – $136 |
| 8 | Molina facility · case rate · outpatient · +6 other terms | 15 | $79 | $86 | $20 | 23% | — | $55 – $133 |
| 9 | Cigna fee schedule · both · +4 other terms | 13 | $34 | $34 | $17 | 49% | — | $11 – $51 |
| 10 | Optum facility · case rate · outpatient | 11 | $74 | $81 | $18 | 22% | — | $67 – $121 |
← Hospitals reporting CPT 0694T · Snapshot 20261113T090226Z-3ce6c0b8