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
LIGATION UPPER JAW ARTERY
Low
$773
Average
$3.6k
Median
$3.1k
High
$10.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.4× 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 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 348 | $4.9k | $5.9k | $3.5k | 60% | 1–10 | $1 – $39.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 493 | $3.2k | $4.4k | $5.1k | 115% | — | $388 – $92.5k |
| 3 | Aetna fee schedule · outpatient · +19 other terms | 457 | $3.4k | $4.3k | $3.6k | 84% | — | $79 – $37.3k |
| 4 | Humana fee schedule · outpatient · +18 other terms | 355 | $3.1k | $2.8k | $1.2k | 44% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +16 other terms | 308 | $6.4k | $7.1k | $5.6k | 79% | — | $1.1k – $40.7k |
| 6 | Molina fee schedule · outpatient · +13 other terms | 216 | $2.4k | $2.0k | $1.5k | 74% | — | $1 – $8.6k |
| 7 | WellCare fee schedule · outpatient · +9 other terms | 163 | $3.2k | $3.3k | $1.1k | 34% | — | $705 – $7.4k |
| 8 | Oscar case rate · outpatient · +13 other terms | 137 | $7.2k | $6.8k | $2.0k | 29% | — | $3.1k – $13.8k |
| 9 | Anthem fee schedule · outpatient · +16 other terms | 124 | $3.3k | $3.5k | $3.9k | 111% | — | $740 – $23.1k |
| 10 | Kaiser fee schedule · outpatient · +9 other terms | 94 | $4.0k | $5.1k | $4.0k | 78% | — | $740 – $23.4k |
| 11 | Ambetter fee schedule · outpatient · +9 other terms | 80 | $5.3k | $4.2k | $2.2k | 52% | — | $1.1k – $7.6k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $5.1k | $5.5k | $636 | 12% | — | $2.0k – $6.3k |
| 13 | Devoted fee schedule · outpatient · +5 other terms | 69 | $3.2k | $3.0k | $768 | 26% | — | $845 – $3.6k |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 64 | $1.4k | $1.4k | $315 | 22% | — | $561 – $3.0k |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 55 | $2.9k | $2.5k | $1.2k | 48% | — | $1.5k – $5.4k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.1k | $657 | 62% | — | $929 – $4.7k |
| 17 | Optum fee schedule · outpatient · +9 other terms | 35 | $3.0k | $3.6k | $2.7k | 74% | — | $845 – $11.7k |
| 18 | MultiPlan case rate · outpatient · +13 other terms | 34 | $5.7k | $6.8k | $2.7k | 40% | — | $965 – $11.5k |
| 19 | Amerihealth Caritas case rate · outpatient · +6 other terms | 33 | $567 | $5.4k | $4.7k | 86% | — | $536 – $11.4k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $4.1k | $4.0k | $1.9k | 48% | — | $1.1k – $11.5k |
| 21 | First Health fee schedule · outpatient · +14 other terms | 33 | $3.3k | $3.5k | $2.9k | 83% | — | $827 – $10.2k |
| 22 | Clover fee schedule · outpatient · +6 other terms | 31 | $3.4k | $3.3k | $212 | 6% | — | $2.8k – $3.7k |
| 23 | Medica case rate · outpatient · +8 other terms | 28 | $3.3k | $3.9k | $1.7k | 42% | — | $1.4k – $8.2k |
| 24 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 27 | $1.2k | $2.1k | $981 | 48% | — | $1.2k – $3.3k |
| 25 | Tricare fee schedule · outpatient · +9 other terms | 27 | $2.9k | $3.1k | $1.1k | 35% | — | $2.2k – $5.4k |
← Hospitals reporting CPT 30920 · Snapshot 20261113T090226Z-3ce6c0b8