CPT 25455
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 of wrist joint
Low
$626
Average
$3.2k
Median
$2.8k
High
$10.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 5.2× 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 | 489 | $3.3k | $5.0k | $5.8k | 116% | — | $121 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 453 | $3.5k | $4.3k | $3.6k | 84% | — | $79 – $37.3k |
| 3 | Humana fee schedule · outpatient · +6 other terms | 352 | $3.2k | $2.8k | $1.3k | 46% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 347 | $4.6k | $6.1k | $4.1k | 67% | — | $1 – $39.1k |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 216 | $3.5k | $4.7k | $4.0k | 84% | — | $609 – $19.5k |
| 6 | Molina fee schedule · outpatient · +5 other terms | 214 | $2.4k | $2.0k | $1.6k | 79% | — | $1 – $8.9k |
| 7 | WellCare fee schedule · outpatient · +6 other terms | 163 | $3.3k | $3.4k | $1.2k | 35% | — | $550 – $7.6k |
| 8 | Anthem fee schedule · outpatient · +5 other terms | 123 | $3.2k | $3.3k | $3.8k | 115% | — | $413 – $23.9k |
| 9 | Kaiser fee schedule · outpatient · +4 other terms | 94 | $4.1k | $5.2k | $4.1k | 79% | — | $413 – $23.4k |
| 10 | Ambetter fee schedule · outpatient · +6 other terms | 79 | $5.5k | $4.3k | $2.3k | 54% | — | $964 – $7.9k |
| 11 | Devoted fee schedule · outpatient · +4 other terms | 69 | $3.3k | $3.1k | $840 | 27% | — | $722 – $3.7k |
| 12 | Aetna Better Health fee schedule · outpatient · +6 other terms | 64 | $1.4k | $1.4k | $340 | 24% | — | $561 – $3.0k |
| 13 | Caresource fee schedule · outpatient · +4 other terms | 55 | $3.0k | $2.6k | $1.3k | 50% | — | $1.5k – $5.6k |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 49 | $6.0k | $4.4k | $2.9k | 65% | — | $1 – $9.3k |
| 15 | Optum fee schedule · outpatient · +4 other terms | 35 | $3.2k | $3.7k | $2.8k | 76% | — | $722 – $12.1k |
| 16 | Bcbs Tx fee schedule · outpatient · +1 other terms | 33 | $4.0k | $3.9k | $1.9k | 47% | — | $1.1k – $11.4k |
| 17 | First Health fee schedule · outpatient · +2 other terms | 32 | $3.4k | $3.5k | $2.9k | 83% | — | $708 – $10.2k |
| 18 | Clover fee schedule · outpatient · +3 other terms | 31 | $3.5k | $3.4k | $214 | 6% | — | $3.0k – $3.8k |
| 19 | MultiPlan fee schedule · outpatient · +4 other terms | 28 | $5.2k | $5.2k | $657 | 13% | — | $1.5k – $10.2k |
| 20 | Tricare fee schedule · outpatient · +5 other terms | 28 | $3.0k | $3.1k | $1.1k | 35% | — | $748 – $5.4k |
| 21 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 27 | $1.1k | $2.1k | $1.0k | 50% | — | $1.1k – $3.4k |
| 22 | Baylor Scott White Health Plan facility · fee schedule · outpatient | 25 | $4.2k | $4.1k | $826 | 20% | — | $3.1k – $5.4k |
| 23 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $9.2k | $8.8k | $2.4k | 27% | — | $1.8k – $13.3k |
| 24 | Medicare fee schedule · outpatient · +6 other terms | 24 | $722 | $1.2k | $1.0k | 83% | — | $651 – $3.3k |
| 25 | Superior Healthplan facility · fee schedule · outpatient · +1 other terms | 24 | $2.3k | $2.1k | $1.1k | 53% | — | $1.1k – $3.5k |
← Hospitals reporting CPT 25455 · Snapshot 20261113T090226Z-3ce6c0b8