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 Lip V-Exc W/Prim Dir Linr Clsr
Low
$451
Average
$3.1k
Median
$2.9k
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 4.9× 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 · +26 other terms | 511 | $3.2k | $3.1k | $3.9k | 125% | — | $137 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +24 other terms | 454 | $3.3k | $3.9k | $2.9k | 75% | — | $79 – $26.6k |
| 3 | Humana fee schedule · outpatient · +20 other terms | 354 | $3.1k | $2.6k | $1.4k | 56% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 352 | $4.3k | $5.3k | $3.7k | 70% | — | $0 – $24.3k |
| 5 | Cigna case rate · outpatient · +19 other terms | 312 | $3.7k | $5.4k | $6.3k | 116% | — | $872 – $40.7k |
| 6 | Molina fee schedule · outpatient · +19 other terms | 216 | $1.5k | $1.8k | $1.7k | 94% | — | $1 – $7.7k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 164 | $3.3k | $3.3k | $1.4k | 41% | — | $309 – $7.6k |
| 8 | Oscar case rate · outpatient · +16 other terms | 137 | $4.0k | $3.2k | $1.4k | 44% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 125 | $2.6k | $2.7k | $4.0k | 148% | — | $230 – $24.3k |
| 10 | Kaiser fee schedule · outpatient · +15 other terms | 100 | $4.1k | $4.7k | $4.0k | 86% | — | $51 – $22.4k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.4k | $2.7k | $576 | 21% | — | $1.6k – $4.3k |
| 12 | Ambetter fee schedule · outpatient · +11 other terms | 75 | $5.1k | $3.8k | $2.7k | 70% | — | $451 – $8.0k |
| 13 | Aetna Better Health fee schedule · outpatient · +9 other terms | 70 | $1.1k | $1.1k | $380 | 33% | — | $359 – $3.0k |
| 14 | Devoted fee schedule · outpatient · +6 other terms | 67 | $3.3k | $3.0k | $967 | 32% | — | $353 – $3.7k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 42 | $3.2k | $2.4k | $1.5k | 62% | — | $235 – $5.7k |
| 16 | Optum fee schedule · outpatient · +14 other terms | 40 | $3.0k | $3.2k | $3.0k | 92% | — | $321 – $12.2k |
| 17 | MultiPlan fee schedule · outpatient · +18 other terms | 38 | $3.9k | $4.9k | $881 | 18% | — | $432 – $7.3k |
| 18 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.0k | $549 | 54% | — | $929 – $4.9k |
| 19 | Amerihealth Caritas case rate · outpatient · +7 other terms | 33 | $496 | $3.4k | $2.5k | 72% | — | $468 – $6.3k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $3.9k | $3.8k | $1.8k | 48% | — | $887 – $10.9k |
| 21 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 32 | $931 | $1.7k | $1.2k | 71% | — | $321 – $3.4k |
| 22 | Clover fee schedule · outpatient · +7 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 23 | First Health fee schedule · outpatient · +15 other terms | 28 | $3.5k | $3.0k | $2.4k | 82% | — | $399 – $7.6k |
| 24 | Medica case rate · outpatient · +16 other terms | 28 | $2.8k | $2.5k | $681 | 27% | — | $977 – $3.2k |
| 25 | Tricare fee schedule · outpatient · +13 other terms | 27 | $3.0k | $3.0k | $1.3k | 44% | — | $1.6k – $5.4k |
← Hospitals reporting CPT 40520 · Snapshot 20261112T181611Z-3fa9fb76