CPT 21194
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
Rcnstj Mndblr Rami Hrzntl/Ver/C/L Osteot W/Graft
Low
$1.2k
Average
$5.6k
Median
$5.2k
High
$16.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.1× 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 | Aetna fee schedule · outpatient · +5 other terms | 431 | $6.3k | $7.3k | $5.3k | 74% | — | $79 – $48.0k |
| 2 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 399 | $6.2k | $8.2k | $8.3k | 101% | — | $232 – $173.8k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 311 | $8.0k | $14.1k | $10.7k | 76% | — | $0 – $51.8k |
| 4 | Humana fee schedule · outpatient · +6 other terms | 301 | $5.9k | $5.5k | $2.2k | 40% | — | $1.2k – $17.1k |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 192 | $5.9k | $7.1k | $5.4k | 77% | — | $0 – $30.6k |
| 6 | WellCare fee schedule · outpatient · +5 other terms | 148 | $6.0k | $6.2k | $2.2k | 35% | — | $239 – $13.9k |
| 7 | Molina fee schedule · outpatient · +5 other terms | 125 | $6.2k | $6.5k | $3.4k | 53% | — | $189 – $13.7k |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 122 | $5.8k | $6.2k | $7.0k | 112% | — | $1.3k – $43.3k |
| 9 | Kaiser fee schedule · outpatient · +4 other terms | 94 | $7.5k | $9.4k | $7.2k | 77% | — | $1.3k – $42.0k |
| 10 | Devoted fee schedule · outpatient · +4 other terms | 68 | $6.0k | $5.5k | $1.5k | 27% | — | $1.4k – $6.7k |
| 11 | Ambetter fee schedule · outpatient · +4 other terms | 61 | $10.3k | $8.3k | $4.5k | 54% | — | $1.8k – $14.3k |
| 12 | Caresource fee schedule · outpatient · +4 other terms | 39 | $5.9k | $4.6k | $2.4k | 52% | — | $2.7k – $10.1k |
| 13 | Oscar fee schedule · outpatient · +3 other terms | 39 | $9.5k | $6.8k | $5.3k | 78% | — | $1 – $16.9k |
| 14 | Optum fee schedule · outpatient · +4 other terms | 35 | $5.7k | $6.7k | $5.1k | 75% | — | $1.4k – $21.9k |
| 15 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $2.9k | $2.9k | $1.5k | 51% | — | $1.2k – $6.3k |
| 16 | Clover fee schedule · outpatient · +3 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 17 | Medicare fee schedule · outpatient · +5 other terms | 24 | $1.4k | $2.3k | $1.8k | 79% | — | $1.3k – $5.9k |
| 18 | Medica fee schedule · outpatient · +4 other terms | 23 | $2.8k | $3.4k | $1.6k | 46% | — | $1.1k – $6.2k |
| 19 | Regence professional · fee schedule · outpatient · +3 other terms | 20 | $588 | $643 | $500 | 78% | — | $221 – $2.8k |
| 20 | First Health fee schedule · outpatient · +2 other terms | 19 | $6.3k | $9.2k | $4.8k | 53% | — | $1.4k – $16.3k |
| 21 | Medical Mutual fee schedule · outpatient · +1 other terms | 17 | $18.9k | $18.7k | $8.3k | 45% | — | $5.1k – $31.3k |
| 22 | Tricare fee schedule · outpatient · +3 other terms | 17 | $5.8k | $16.2k | $18.9k | 117% | — | $5.4k – $50k |
| 23 | Amerihealth Caritas fee schedule · both · +3 other terms | 16 | $1.1k | $2.8k | $2.2k | 78% | — | $1.1k – $6.3k |
| 24 | Highmark fee schedule · outpatient · +5 other terms | 16 | $5.7k | $5.6k | $3.8k | 68% | — | $568 – $17.4k |
| 25 | MultiPlan fee schedule · outpatient · +4 other terms | 15 | $9.4k | $9.4k | $273 | 3% | — | $5.6k – $9.4k |
← Hospitals reporting CPT 21194 · Snapshot 20261113T090226Z-3ce6c0b8