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
PROF CL TX NASAL FX WO MAN
Low
$89
Average
$1.5k
Median
$717
High
$7.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
44 payers; the 90th percentile is 22.9× 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 | Oscar case rate · outpatient · +10 other terms | 126 | $2.6k | $2.6k | $615 | 24% | — | $990 – $7.5k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 57 | $1.3k | $2.8k | $4.2k | 147% | — | $51 – $16.4k |
| 3 | Aetna fee schedule · outpatient · +16 other terms | 48 | $7.4k | $6.0k | $6.0k | 100% | — | $30 – $33.6k |
| 4 | Humana case rate · outpatient · +18 other terms | 48 | $4k | $3.2k | $1.2k | 39% | — | $1.2k – $4.9k |
| 5 | Anthem case rate · outpatient · +11 other terms | 41 | $4.8k | $5.8k | $4.3k | 74% | — | $443 – $29.0k |
| 6 | Healthcare Highways case rate · outpatient · +1 other terms | 39 | $5.8k | $7.8k | $5.4k | 68% | — | $2.1k – $14.6k |
| 7 | Cigna case rate · outpatient · +18 other terms | 36 | $3.5k | $4.5k | $2.3k | 51% | — | $1.2k – $13.6k |
| 8 | MultiPlan case rate · outpatient · +11 other terms | 33 | $4.0k | $5.0k | $2.4k | 48% | — | $2.5k – $11.5k |
| 9 | Molina facility · case rate · outpatient · +8 other terms | 31 | $333 | $348 | $137 | 40% | — | $133 – $839 |
| 10 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 31 | $240 | $678 | $2.6k | 381% | — | $5 – $17.9k |
| 11 | Phcs fee schedule · outpatient · +9 other terms | 23 | $2.1k | $2.1k | $2.0k | 93% | — | $136 – $5.5k |
| 12 | Tricare fee schedule · outpatient · +9 other terms | 16 | $125 | $14.0k | $22.3k | 160% | — | $125 – $50k |
| 13 | Caresource facility · case rate · outpatient · +6 other terms | 15 | $272 | $292 | $67 | 23% | — | $182 – $462 |
| 14 | Amerihealth Caritas case rate · outpatient · +5 other terms | 14 | $3.2k | $2.7k | $983 | 36% | — | $359 – $3.3k |
| 15 | Optum other · outpatient · +5 other terms | 13 | $409 | $433 | $270 | 62% | — | $160 – $860 |
| 16 | Wellmark fee schedule · both · +5 other terms | 13 | $53 | $53 | $5 | 10% | — | $49 – $60 |
| 17 | Ambetter case rate · outpatient · +11 other terms | 12 | $1.6k | $1.5k | $685 | 46% | — | $0 – $2.9k |
| 18 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $214 | $189 | $49 | 26% | — | $67 – $231 |
| 19 | Kaiser fee schedule · outpatient · +11 other terms | 11 | $59 | $156 | $396 | 254% | — | $59 – $1.9k |
| 20 | Medica case rate · outpatient · +5 other terms | 9 | $1.1k | $1.3k | $204 | 16% | — | $953 – $1.6k |
| 21 | Bcbs Mn fee schedule · outpatient · +1 other terms | 8 | $124 | $164 | $119 | 72% | — | $64 – $530 |
| 22 | Medical Mutual fee schedule · outpatient · +3 other terms | 8 | $5.9k | $4.8k | $2.4k | 50% | — | $31 – $6.9k |
| 23 | Aetna Better Health other · outpatient · +1 other terms | 7 | $165 | $179 | $68 | 38% | — | $71 – $280 |
| 24 | Bcbs La other · outpatient · +1 other terms | 7 | $300 | $320 | $97 | 30% | — | $183 – $430 |
| 25 | WellCare other · outpatient · +8 other terms | 7 | $193 | $251 | $171 | 68% | — | $144 – $667 |
← Hospitals reporting CPT 21310 · Snapshot 20261112T181611Z-3fa9fb76