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
HC DEST LESN MLG S/NK/EXT 3.1-4CM
Low
$185
Average
$819
Median
$540
High
$6.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.0× 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 · +33 other terms | 544 | $400 | $873 | $1.5k | 174% | 2–20 | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 493 | $442 | $1.4k | $2.2k | 163% | — | $79 – $21.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 370 | $720 | $1.4k | $1.8k | 129% | — | $0 – $18.0k |
| 4 | Humana fee schedule · outpatient · +26 other terms | 368 | $395 | $492 | $803 | 163% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +27 other terms | 307 | $3.0k | $4.6k | $6.1k | 134% | — | $82 – $40.7k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 227 | $295 | $263 | $225 | 86% | — | $1 – $1.6k |
| 7 | WellCare fee schedule · outpatient · +16 other terms | 171 | $402 | $490 | $539 | 110% | — | $126 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +27 other terms | 125 | $442 | $584 | $743 | 127% | — | $115 – $6.3k |
| 9 | Oscar case rate · outpatient · +17 other terms | 120 | $2.7k | $3.8k | $1.8k | 48% | — | $625 – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 102 | $529 | $714 | $734 | 103% | — | $25 – $4.3k |
| 11 | Ambetter fee schedule · outpatient · +15 other terms | 76 | $685 | $613 | $372 | 61% | — | $145 – $2.3k |
| 12 | Aetna Better Health fee schedule · outpatient · +14 other terms | 70 | $152 | $175 | $68 | 39% | — | $132 – $375 |
| 13 | Devoted fee schedule · outpatient · +13 other terms | 69 | $415 | $386 | $81 | 21% | — | $163 – $454 |
| 14 | Optum fee schedule · outpatient · +19 other terms | 57 | $367 | $415 | $280 | 67% | — | $151 – $1.5k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 56 | $169 | $362 | $713 | 197% | — | $118 – $4.3k |
| 16 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $6.7k | $5.1k | 77% | — | $2.1k – $14.6k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $938 | $48 | 5% | — | $600 – $948 |
| 18 | First Health fee schedule · outpatient · +16 other terms | 34 | $425 | $1.2k | $2.3k | 191% | — | $120 – $7.2k |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $252 | $243 | $107 | 44% | — | $115 – $610 |
| 20 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 32 | $151 | $233 | $130 | 56% | — | $126 – $420 |
| 21 | Clover fee schedule · outpatient · +7 other terms | 31 | $446 | $961 | $1.3k | 134% | — | $367 – $4.4k |
| 22 | Medica case rate · outpatient · +14 other terms | 28 | $881 | $1.0k | $680 | 65% | — | $320 – $2.9k |
| 23 | MultiPlan fee schedule · outpatient · +18 other terms | 28 | $596 | $621 | $74 | 12% | — | $183 – $639 |
| 24 | Tricare fee schedule · outpatient · +15 other terms | 28 | $414 | $1.1k | $1.7k | 153% | — | $158 – $5.1k |
| 25 | Medicare fee schedule · outpatient · +11 other terms | 27 | $163 | $756 | $1.3k | 171% | — | $150 – $4.2k |
← Hospitals reporting CPT 17274 · Snapshot 20261113T090226Z-3ce6c0b8