CPT 21275
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
Revision orbitofacial bones
Low
$696
Average
$5.1k
Median
$4.8k
High
$15.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 5.1× 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 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 468 | $5.9k | $6.8k | $7.8k | 114% | — | $140 – $173.8k |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 428 | $6.3k | $7.6k | $5.9k | 78% | — | $79 – $57.7k |
| 3 | Humana fee schedule · outpatient · +6 other terms | 341 | $5.8k | $5.0k | $2.6k | 53% | — | $1 – $29.5k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 330 | $8.3k | $10.0k | $5.7k | 57% | — | $1 – $58.9k |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 212 | $6.1k | $8.1k | $6.7k | 84% | — | $205 – $32.8k |
| 6 | Molina fee schedule · outpatient · +5 other terms | 210 | $4.1k | $3.6k | $2.9k | 80% | — | $1 – $13.7k |
| 7 | WellCare fee schedule · outpatient · +6 other terms | 154 | $6.0k | $6.2k | $2.3k | 37% | — | $145 – $13.9k |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 123 | $5.6k | $5.2k | $6.9k | 132% | — | $821 – $43.3k |
| 9 | Kaiser fee schedule · outpatient · +4 other terms | 94 | $7.5k | $9.3k | $7.3k | 79% | — | $744 – $42.0k |
| 10 | Ambetter fee schedule · outpatient · +4 other terms | 72 | $9.4k | $7.6k | $4.4k | 57% | — | $1.1k – $14.3k |
| 11 | Devoted fee schedule · outpatient · +4 other terms | 68 | $6.0k | $5.5k | $1.7k | 31% | — | $821 – $6.7k |
| 12 | Aetna Better Health fee schedule · outpatient · +6 other terms | 64 | $2.5k | $2.5k | $668 | 27% | — | $807 – $5.5k |
| 13 | Oscar fee schedule · outpatient · +3 other terms | 40 | $9.5k | $6.6k | $5.3k | 80% | — | $1 – $16.9k |
| 14 | Caresource fee schedule · outpatient · +4 other terms | 39 | $5.9k | $4.6k | $2.4k | 52% | — | $2.7k – $10.1k |
| 15 | Optum fee schedule · outpatient · +4 other terms | 35 | $5.7k | $6.6k | $5.2k | 80% | — | $821 – $21.9k |
| 16 | Bcbs Tx fee schedule · outpatient · +1 other terms | 33 | $7.2k | $7.0k | $3.3k | 47% | — | $2.0k – $20.1k |
| 17 | Clover fee schedule · outpatient · +3 other terms | 31 | $6.5k | $6.3k | $402 | 6% | — | $5.3k – $7.0k |
| 18 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 27 | $2.1k | $3.8k | $1.9k | 51% | — | $2.1k – $6.2k |
| 19 | Tricare fee schedule · outpatient · +4 other terms | 27 | $5.4k | $11.0k | $16.9k | 153% | — | $1.2k – $50k |
| 20 | First Health fee schedule · outpatient · +3 other terms | 26 | $6.2k | $6.3k | $5.5k | 87% | — | $807 – $17.6k |
| 21 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $10.0k | $9.8k | $2.1k | 21% | — | $3.1k – $13.7k |
| 22 | Medicare fee schedule · outpatient · +5 other terms | 24 | $821 | $1.9k | $2.0k | 110% | — | $744 – $5.9k |
| 23 | MultiPlan fee schedule · outpatient · +4 other terms | 24 | $9.4k | $9.2k | $690 | 7% | — | $3.0k – $9.4k |
| 24 | Medica fee schedule · outpatient · +4 other terms | 23 | $2.6k | $3.0k | $2.0k | 67% | — | $696 – $6.2k |
| 25 | Regence professional · fee schedule · outpatient · +3 other terms | 21 | $348 | $422 | $374 | 89% | — | $131 – $2.1k |
← Hospitals reporting CPT 21275 · Snapshot 20261113T090226Z-3ce6c0b8