Jaw joint X-ray dye injection

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY

Payers reporting CPT 21116

Payer pricing summary

Low

$54

Average

$852

Median

$387

High

$7.5k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare case rate · outpatient · +26 other terms	371	$1.7k	$1.8k	$1.5k	82%	—	$1 – $22.4k
2	Aetna case rate · outpatient · +27 other terms	258	$2.3k	$2.8k	$1.5k	55%	—	$96 – $16.8k
3	Oscar case rate · outpatient · +13 other terms	122	$2.6k	$2.6k	$746	29%	—	$990 – $7.5k
4	Humana fee schedule · outpatient · +22 other terms	108	$209	$819	$1.6k	197%	—	$1 – $12.8k
5	Anthem fee schedule · outpatient · +18 other terms	95	$179	$152	$167	110%	—	$41 – $1.2k
6	Cigna case rate · outpatient · +21 other terms	91	$7.3k	$10.1k	$9.8k	97%	—	$1 – $40.7k
7	Molina case rate · outpatient · +17 other terms	88	$1.9k	$2.2k	$867	39%	—	$191 – $3.2k
8	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	87	$322	$1.9k	$3.5k	183%	—	$0 – $15.6k
9	Healthcare Highways case rate · outpatient · +2 other terms	42	$5.8k	$8.1k	$5.3k	66%	—	$2.1k – $14.6k
10	Kaiser fee schedule · outpatient · +14 other terms	40	$157	$175	$136	78%	—	$40 – $926
11	Superior Healthplan case rate · outpatient · +2 other terms	33	$948	$944	$8	1%	—	$929 – $948
12	WellCare fee schedule · both · +14 other terms	30	$41	$66	$59	90%	—	$0 – $217
13	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$205	$164	$43	26%	—	$49 – $221
14	Medica case rate · outpatient · +14 other terms	26	$1.3k	$1.1k	$677	60%	—	$320 – $2.9k
15	Caresource facility · case rate · outpatient · +12 other terms	22	$85	$173	$123	71%	—	$51 – $412
16	Devoted fee schedule · outpatient · +8 other terms	21	$209	$137	$82	60%	—	$42 – $209
17	Regence professional · fee schedule · outpatient · +2 other terms	20	$188	$191	$126	66%	—	$65 – $424
18	Aetna Better Health fee schedule · outpatient · +10 other terms	19	$43	$66	$77	117%	—	$14 – $284
19	Bcbs La fee schedule · outpatient · +1 other terms	19	$256	$248	$66	27%	—	$0 – $353
20	Medicare fee schedule · outpatient · +9 other terms	18	$42	$42	$1	2%	—	$40 – $43
21	Ambetter case rate · outpatient · +9 other terms	14	$2.0k	$2.6k	$2.8k	105%	—	$0 – $10.1k
22	Amerihealth Caritas facility · fee schedule · outpatient · +8 other terms	14	$34	$80	$97	122%	—	$28 – $366
23	Highmark fee schedule · outpatient · +9 other terms	14	$50	$61	$100	164%	—	$25 – $1.3k
24	Optum facility · case rate · outpatient · +9 other terms	14	$73	$115	$65	57%	—	$63 – $224
25	Wellmark fee schedule · both · +4 other terms	13	$78	$84	$54	64%	—	$41 – $432

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