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 TOE
Low
$480
Average
$3.1k
Median
$2.7k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 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 | Aetna fee schedule · outpatient · +24 other terms | 461 | $3.5k | $4.2k | $3.5k | 84% | 9–90 | $79 – $37.3k |
| 2 | Humana fee schedule · outpatient · +24 other terms | 359 | $3.2k | $2.7k | $1.4k | 50% | 9–90 | $1 – $12.8k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 356 | $4.4k | $5.8k | $4.0k | 69% | 1–10 | $1 – $39.1k |
| 4 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 510 | $3.2k | $3.7k | $4.2k | 114% | — | $58 – $95.3k |
| 5 | Cigna case rate · outpatient · +19 other terms | 315 | $6.3k | $7.2k | $5.8k | 80% | — | $558 – $40.7k |
| 6 | Molina fee schedule · outpatient · +16 other terms | 224 | $1.7k | $2.0k | $1.6k | 81% | — | $1 – $8.9k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 167 | $3.3k | $3.4k | $1.2k | 35% | — | $231 – $7.6k |
| 8 | Oscar case rate · outpatient · +17 other terms | 137 | $5.6k | $5.1k | $1.5k | 30% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +19 other terms | 123 | $2.6k | $2.7k | $3.9k | 146% | — | $225 – $23.9k |
| 10 | Kaiser fee schedule · outpatient · +15 other terms | 94 | $4.1k | $5.1k | $4.1k | 82% | — | $225 – $23.4k |
| 11 | Ambetter fee schedule · outpatient · +13 other terms | 82 | $5.2k | $4.2k | $2.4k | 56% | — | $50 – $7.9k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.1k | $966 | 23% | — | $2.0k – $5.5k |
| 13 | Aetna Better Health fee schedule · outpatient · +9 other terms | 72 | $1.4k | $1.4k | $446 | 33% | — | $320 – $3.7k |
| 14 | Devoted fee schedule · outpatient · +8 other terms | 72 | $3.3k | $3.0k | $1.0k | 34% | — | $352 – $3.7k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 56 | $3.0k | $2.6k | $1.3k | 51% | — | $357 – $5.6k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 46 | $2.4k | $2.4k | $388 | 16% | — | $2.3k – $4.9k |
| 17 | Optum fee schedule · outpatient · +16 other terms | 35 | $3.2k | $3.6k | $2.9k | 81% | — | $352 – $12.1k |
| 18 | MultiPlan case rate · outpatient · +15 other terms | 34 | $5.7k | $6.5k | $2.5k | 39% | — | $965 – $11.5k |
| 19 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $567 | $4.7k | $4.2k | 90% | — | $536 – $10.5k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $4.0k | $3.9k | $1.9k | 47% | — | $1.1k – $11.4k |
| 21 | First Health fee schedule · outpatient · +19 other terms | 33 | $3.4k | $3.5k | $2.9k | 83% | — | $531 – $10.2k |
| 22 | Tricare fee schedule · outpatient · +12 other terms | 33 | $3.0k | $3.0k | $1.2k | 39% | — | $336 – $5.4k |
| 23 | Clover fee schedule · outpatient · +7 other terms | 32 | $3.5k | $3.5k | $226 | 7% | — | $3.0k – $3.9k |
| 24 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 28 | $1.1k | $2.1k | $1.1k | 50% | — | $1.1k – $3.5k |
| 25 | Medica case rate · outpatient · +17 other terms | 28 | $4.0k | $3.5k | $1.2k | 36% | — | $1.1k – $6.3k |
← Hospitals reporting CPT 28312 · Snapshot 20261112T181611Z-3fa9fb76