7 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $46.00 | $46.00 | $46.00 – $46.00 |
| 2 | Anthem fee schedule · outpatient · +1 other terms | 1 | $18.00 | $18.00 | $18.00 – $18.00 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $48.00 | $48.00 | $48.00 – $48.00 |
| 4 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $42.00 | $42.00 | $34.00 – $50.00 |
| 5 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $40.00 | $40.00 | $40.00 – $40.00 |
| 6 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 1 | $18.00 | $18.00 | $18.00 – $18.00 |
| 7 | WellCare fee schedule · outpatient | 1 | $19.00 | $19.00 | $19.00 – $19.00 |
← Hospitals reporting CPT 17253 · Snapshot 20261109T115250Z-6452cf6e