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
EXC BACK TUM DEEP 5 CM/>
Low
$943
Average
$3.3k
Median
$2.8k
High
$13.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 3.7× 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 · +33 other terms | 534 | $3.1k | $3.9k | $3.4k | 89% | 6–60 | $20 – $37.3k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 422 | $3.8k | $4.8k | $3.5k | 73% | 6–60 | $0 – $39.1k |
| 3 | Anthem fee schedule · outpatient · +23 other terms | 134 | $2.8k | $3.0k | $3.4k | 113% | 6–60 | $482 – $21.3k |
| 4 | Bcbs La fee schedule · outpatient · +3 other terms | 25 | $6.6k | $6.5k | $1.6k | 25% | 6–60 | $1.6k – $9.6k |
| 5 | Humana fee schedule · outpatient · +28 other terms | 390 | $2.8k | $2.5k | $1.2k | 47% | 5–50 | $1 – $12.8k |
| 6 | Cigna case rate · outpatient · +26 other terms | 346 | $9.3k | $10.2k | $5.8k | 57% | 5–50 | $82 – $40.7k |
| 7 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 594 | $2.9k | $3.2k | $3.6k | 112% | 4–40 | $1 – $84.1k |
| 8 | Bcbs Al facility · other · outpatient · +4 other terms | 4 | $2.5k | $2.6k | $269 | 10% | 3–30 | $2.3k – $3.0k |
| 9 | Molina fee schedule · outpatient · +26 other terms | 250 | $2.1k | $1.9k | $1.6k | 84% | 2–20 | $1 – $9.2k |
| 10 | Ambetter fee schedule · outpatient · +17 other terms | 88 | $5.0k | $4.4k | $2.1k | 48% | 2–20 | $309 – $9.5k |
| 11 | WellCare fee schedule · outpatient · +20 other terms | 198 | $3.0k | $3.0k | $1.1k | 37% | 1–10 | $130 – $6.7k |
| 12 | Kaiser fee schedule · outpatient · +22 other terms | 103 | $3.6k | $4.0k | $3.5k | 88% | 1–10 | $152 – $20.3k |
| 13 | Highmark facility · fee schedule · outpatient · +16 other terms | 46 | $3.3k | $3.5k | $2.7k | 77% | 1–10 | $19 – $13.0k |
| 14 | First Health fee schedule · outpatient · +21 other terms | 37 | $3.0k | $2.9k | $2.8k | 96% | 1–10 | $707 – $10.2k |
| 15 | Amerihealth Caritas case rate · outpatient · +12 other terms | 33 | $496 | $4.6k | $4.4k | 94% | 1–10 | $468 – $10.5k |
| 16 | Medicare fee schedule · outpatient · +16 other terms | 29 | $715 | $1.8k | $1.8k | 99% | 1–10 | $648 – $10.3k |
| 17 | Oscar case rate · outpatient · +21 other terms | 129 | $5.6k | $5.3k | $1.5k | 29% | — | $2.4k – $10.1k |
| 18 | Aetna Better Health fee schedule · outpatient · +12 other terms | 81 | $1.0k | $1.2k | $888 | 72% | — | $491 – $10.1k |
| 19 | Devoted fee schedule · outpatient · +13 other terms | 77 | $3.0k | $2.7k | $755 | 28% | — | $715 – $3.2k |
| 20 | Healthcare Highways case rate · outpatient · +2 other terms | 72 | $3.6k | $4.2k | $971 | 23% | — | $2.7k – $5.5k |
| 21 | Caresource fee schedule · outpatient · +15 other terms | 67 | $2.7k | $2.3k | $1.4k | 59% | — | $396 – $10.3k |
| 22 | Tricare fee schedule · outpatient · +19 other terms | 65 | $2.8k | $2.8k | $1.0k | 38% | — | $673 – $5.4k |
| 23 | Optum fee schedule · outpatient · +22 other terms | 42 | $2.6k | $3.0k | $2.4k | 80% | — | $715 – $10.7k |
| 24 | Regence professional · fee schedule · outpatient · +17 other terms | 39 | $305 | $433 | $289 | 67% | — | $49 – $1.8k |
| 25 | MultiPlan fee schedule · outpatient · +20 other terms | 38 | $4.1k | $4.3k | $860 | 20% | — | $488 – $5.9k |
← Hospitals reporting CPT 21933 · Snapshot 20261111T120946Z-9134e7f7