CPT 22103
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
Remove extra spine segment
Low
$68
Average
$3.7k
Median
$1.7k
High
$23.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 21.4× 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 facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 31 | $2.7k | $10.2k | $20.0k | 196% | — | $118 – $91.3k |
| 2 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 28 | $1.4k | $1.8k | $5.3k | 294% | — | $111 – $37.5k |
| 3 | Cigna facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 27 | $3.7k | $8.1k | $18.9k | 234% | — | $336 – $145.8k |
| 4 | Humana facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 17 | $3.5k | $2.2k | $1.6k | 72% | — | $119 – $4.0k |
| 5 | First Health facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms | 16 | $3.5k | $10.3k | $26.3k | 255% | — | $3.5k – $112.2k |
| 6 | Oscar professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 14 | $889 | $736 | $336 | 46% | — | $238 – $1.3k |
| 7 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 13 | $8.5k | $16.6k | $28.1k | 169% | — | $8.5k – $114.0k |
| 8 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $2.0k | $1.7k | $448 | 26% | — | $614 – $2.1k |
| 9 | Blue Cross Blue Shield professional · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 12 | $849 | $861 | $230 | 27% | — | $196 – $1.4k |
| 10 | Medica professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 12 | $854 | $881 | $162 | 18% | — | $237 – $1.3k |
← Hospitals reporting CPT 22103 · Snapshot 20261113T090226Z-3ce6c0b8