6 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.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $81.33 | $81.33 | $74.00 – $85.00 |
| 2 | Anthem percent of total billed charges · outpatientfrom % of charges | 1 | $97.00 | $97.00 | $97.00 – $97.00 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $83.50 | $83.50 | $79.00 – $88.00 |
| 4 | Cigna fee schedule · outpatient | 1 | $4,467 | $4,467 | $4,467 – $4,467 |
| 5 | Humana percent of total billed charges · outpatientfrom % of charges | 1 | $112.00 | $112.00 | $109.00 – $115.00 |
| 6 | UnitedHealthcare facility · case rate · outpatient | 1 | $4,344 | $4,344 | $4,344 – $4,344 |
← Hospitals reporting CPT 17901 · Snapshot 20261109T115250Z-6452cf6e