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
Reconstruct orbit/forehead
Low
$1.5k
Average
$6.3k
Median
$5.9k
High
$15.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 3.3× 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 case rate · outpatient · +22 other terms | 428 | $9.2k | $8.9k | $4.7k | 53% | — | $1 – $36.5k |
| 2 | Aetna fee schedule · outpatient · +20 other terms | 410 | $6.4k | $7.8k | $6.0k | 76% | — | $79 – $63.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 327 | $9.3k | $10.4k | $5.2k | 50% | — | $1 – $42.9k |
| 4 | Humana fee schedule · outpatient · +18 other terms | 287 | $6.0k | $6.2k | $2.6k | 42% | — | $1 – $17.1k |
| 5 | Cigna case rate · outpatient · +17 other terms | 221 | $6.8k | $11.9k | $8.4k | 71% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +14 other terms | 147 | $5.8k | $6.2k | $3.3k | 54% | — | $1 – $13.7k |
| 7 | WellCare fee schedule · outpatient · +11 other terms | 131 | $6.1k | $6.6k | $2.0k | 30% | — | $386 – $13.9k |
| 8 | Anthem fee schedule · outpatient · +17 other terms | 122 | $6.5k | $7.5k | $7.5k | 100% | — | $1.5k – $43.3k |
| 9 | Oscar case rate · outpatient · +13 other terms | 120 | $8.4k | $7.6k | $4.4k | 57% | — | $3.3k – $17.8k |
| 10 | Kaiser fee schedule · outpatient · +9 other terms | 94 | $7.5k | $9.5k | $7.1k | 75% | — | $1.5k – $42.0k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $6.4k | $7.0k | $1.1k | 16% | — | $3.4k – $8.6k |
| 12 | Devoted fee schedule · outpatient · +5 other terms | 68 | $6.0k | $5.6k | $1.3k | 23% | — | $2.0k – $6.7k |
| 13 | Ambetter facility · fee schedule · outpatient · +6 other terms | 59 | $10.1k | $10.2k | $2.5k | 25% | — | $2.9k – $15.4k |
| 14 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $1.2k | $1.4k | 116% | — | $929 – $8.9k |
| 15 | Optum fee schedule · outpatient · +8 other terms | 35 | $5.7k | $6.9k | $4.9k | 71% | — | $2.0k – $21.9k |
| 16 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $7.2k | $7.5k | $3.0k | 41% | — | $3.8k – $20.1k |
| 17 | Amerihealth Caritas case rate · outpatient · +5 other terms | 31 | $1.1k | $7.9k | $6.5k | 82% | — | $1.0k – $16.0k |
| 18 | Caresource facility · fee schedule · outpatient · +10 other terms | 31 | $9.1k | $8.2k | $2.8k | 34% | — | $1.8k – $11.8k |
| 19 | Clover fee schedule · outpatient · +6 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 20 | Medica case rate · outpatient · +8 other terms | 28 | $4.0k | $5.0k | $2.2k | 45% | — | $1.6k – $10.6k |
| 21 | Tricare fee schedule · outpatient · +9 other terms | 27 | $5.4k | $11.9k | $16.4k | 137% | — | $3.8k – $50k |
| 22 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $14.1k | $14.3k | $3.6k | 26% | — | $3.3k – $22.7k |
| 23 | Medicare fee schedule · outpatient · +8 other terms | 24 | $2.0k | $2.8k | $1.6k | 56% | — | $1.8k – $5.9k |
| 24 | MultiPlan fee schedule · outpatient · +11 other terms | 22 | $9.4k | $9.3k | $530 | 6% | — | $5.6k – $9.4k |
| 25 | Regence professional · fee schedule · outpatient · +10 other terms | 21 | $872 | $1.1k | $944 | 89% | — | $328 – $5.3k |
← Hospitals reporting CPT 21172 · Snapshot 20261113T090226Z-3ce6c0b8