CPT 21088
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
Prepare face/oral prosthesis
Low
$1.1k
Average
$4.7k
Median
$3.5k
High
$11.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 3.4× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +2 other terms | 426 | $9.2k | $8.8k | $4.7k | 54% | — | $1 – $36.5k |
| 2 | Cigna case rate · outpatient · +2 other terms | 223 | $6.8k | $11.7k | $8.4k | 71% | — | $1 – $40.7k |
| 3 | Aetna case rate · outpatient · +2 other terms | 170 | $3.5k | $4.9k | $3.1k | 63% | — | $645 – $17.8k |
| 4 | Blue Cross Blue Shield case rate · outpatient · +2 other terms | 149 | $5.3k | $9.1k | $9.1k | 100% | — | $5 – $49.3k |
| 5 | Oscar case rate · outpatient · +1 other terms | 130 | $9.4k | $8.8k | $3.1k | 35% | — | $3.5k – $17.8k |
| 6 | Humana case rate · outpatient · +2 other terms | 127 | $3.3k | $4.1k | $942 | 23% | — | $1.5k – $10.2k |
| 7 | Molina case rate · outpatient · +3 other terms | 122 | $3.1k | $3.6k | $2.7k | 75% | — | $206 – $14.3k |
| 8 | Anthem case rate · outpatient · +2 other terms | 108 | $6.2k | $6.0k | $3.3k | 54% | — | $918 – $29.0k |
| 9 | Healthcare Highways case rate · outpatient | 76 | $6.4k | $7.0k | $1.1k | 16% | — | $3.4k – $8.6k |
| 10 | WellCare facility · case rate · outpatient · +1 other terms | 42 | $3.8k | $3.7k | $736 | 20% | — | $1.2k – $5.8k |
| 11 | Kaiser case rate · both · +2 other terms | 41 | $6.8k | $6.1k | $3.5k | 57% | — | $2.6k – $12.3k |
| 12 | Superior Healthplan case rate · outpatient | 38 | $948 | $1.1k | $682 | 64% | — | $929 – $4.9k |
| 13 | Ambetter case rate · outpatient · +1 other terms | 34 | $4.8k | $3.9k | $2.6k | 66% | — | $0 – $10.1k |
| 14 | Medica case rate · outpatient · +1 other terms | 28 | $3.8k | $4.6k | $2.3k | 50% | — | $1.6k – $10.6k |
| 15 | Caresource facility · case rate · outpatient · +1 other terms | 24 | $1.5k | $6.9k | $20.0k | 290% | — | $1.4k – $108.4k |
| 16 | Optum case rate · outpatient · +1 other terms | 24 | $3.0k | $3.2k | $321 | 10% | — | $2.9k – $3.8k |
| 17 | Bcbs La case rate · outpatient | 16 | $3.0k | $3.0k | $24 | 1% | — | $2.9k – $3.0k |
| 18 | Regence facility · case rate · outpatient · +2 other terms | 16 | $3.5k | $4.1k | $1.8k | 44% | — | $3.0k – $10.0k |
| 19 | Ucare case rate · outpatient · +1 other terms | 15 | $3.4k | $3.4k | $61 | 2% | — | $3.2k – $3.4k |
| 20 | Amerihealth Caritas case rate · outpatient · +1 other terms | 12 | $13.3k | $13.1k | $3.8k | 29% | — | $1.3k – $16.0k |
| 21 | Cigna Healthspring case rate · outpatient · +1 other terms | 12 | $3.3k | $3.2k | $106 | 3% | — | $3.0k – $3.3k |
| 22 | Wellmark case rate · outpatient · +1 other terms | 11 | $3.0k | $3.1k | $202 | 7% | — | $2.5k – $3.4k |
| 23 | Aetna Better Health facility · case rate · outpatient | 9 | $1.4k | $1.6k | $688 | 42% | — | $1.2k – $3.4k |
| 24 | Medical Mutual facility · case rate · outpatient · +1 other terms | 9 | $9.1k | $9.5k | $2.5k | 26% | — | $3.0k – $13.8k |
| 25 | Healthpartners facility · case rate · outpatient | 7 | $3.3k | $3.3k | $107 | 3% | — | $3.2k – $3.5k |
← Hospitals reporting CPT 21088 · Snapshot 20261113T090226Z-3ce6c0b8