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 | $292 | $292 | $224 | 77% | — | $68 – $515 |
| 2 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $270 | $215 | 80% | — | $48 – $545 |
| 3 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | $211 | 77% | — | $64 – $485 |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $343 | $343 | $263 | 77% | — | $80 – $606 |
| 5 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $309 | $237 | 77% | — | $72 – $545 |
| 6 | Superior Healthplan fee schedule · outpatient | 1 | $291 | $291 | $232 | 80% | — | $56 – $600 |
| 7 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 1 | $300 | $300 | — | — | — | $300 – $300 |
← Hospitals reporting CPT 17256 · Snapshot 20261110T010908Z-f52d80a4