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 Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr
Low
$160
Average
$2.7k
Median
$2.5k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
67 payers; the 90th percentile is 6.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +32 other terms | 480 | $3.3k | $3.4k | $2.8k | 80% | 5–50 | $34 – $22.2k |
| 2 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 556 | $3.1k | $2.6k | $3.8k | 143% | 4–40 | $1 – $95.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 382 | $3.3k | $3.2k | $4.2k | 130% | 1–10 | $0 – $24.3k |
| 4 | Humana fee schedule · outpatient · +26 other terms | 366 | $3.1k | $2.2k | $1.7k | 78% | 1–10 | $1 – $12.8k |
| 5 | Bcbs Al facility · other · outpatient · +3 other terms | 3 | $4.0k | $4.0k | $171 | 4% | 1–10 | $3.8k – $4.3k |
| 6 | Cigna case rate · outpatient · +29 other terms | 232 | $6.8k | $12.1k | $8.8k | 73% | — | $1 – $40.7k |
| 7 | Molina fee schedule · outpatient · +25 other terms | 221 | $1.8k | $1.4k | $2.0k | 144% | — | $1 – $7.7k |
| 8 | WellCare fee schedule · outpatient · +20 other terms | 175 | $3.3k | $3.1k | $1.6k | 51% | — | $103 – $7.6k |
| 9 | Oscar case rate · outpatient · +18 other terms | 130 | $4.0k | $3.1k | $1.5k | 48% | — | $1.4k – $7.5k |
| 10 | Anthem fee schedule · outpatient · +28 other terms | 122 | $3.1k | $2.1k | $4.0k | 189% | — | $75 – $24.3k |
| 11 | Kaiser fee schedule · outpatient · +20 other terms | 100 | $4.3k | $5.0k | $4.0k | 79% | — | $15 – $22.4k |
| 12 | Ambetter fee schedule · outpatient · +15 other terms | 79 | $5.7k | $4.2k | $3.1k | 74% | — | $50 – $10.8k |
| 13 | Aetna Better Health fee schedule · outpatient · +15 other terms | 76 | $174 | $484 | $1.1k | 233% | — | $89 – $11.4k |
| 14 | Healthcare Highways case rate · outpatient · +1 other terms | 75 | $2.4k | $2.7k | $564 | 21% | — | $2k – $4.3k |
| 15 | Devoted fee schedule · outpatient · +10 other terms | 70 | $3.3k | $2.9k | $1.1k | 38% | — | $121 – $3.7k |
| 16 | Caresource fee schedule · outpatient · +13 other terms | 57 | $1.8k | $1.5k | $1.8k | 120% | — | $75 – $5.7k |
| 17 | MultiPlan fee schedule · outpatient · +22 other terms | 49 | $2.1k | $4.6k | $1.5k | 32% | — | $79 – $7.5k |
| 18 | Optum fee schedule · outpatient · +19 other terms | 49 | $3.0k | $2.8k | $2.9k | 103% | — | $108 – $12.2k |
| 19 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $539 | 53% | — | $929 – $4.9k |
| 20 | Tricare fee schedule · outpatient · +16 other terms | 37 | $3.0k | $2.9k | $1.4k | 48% | — | $113 – $5.4k |
| 21 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 34 | $144 | $1.6k | $1.6k | 97% | — | $108 – $3.4k |
| 22 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $615 | $591 | $957 | 162% | — | $126 – $3.3k |
| 23 | Clover fee schedule · outpatient · +8 other terms | 31 | $3.5k | $3.5k | $202 | 6% | — | $3.0k – $3.8k |
| 24 | First Health fee schedule · outpatient · +21 other terms | 31 | $3.5k | $2.4k | $2.7k | 112% | — | $138 – $7.2k |
| 25 | Medica fee schedule · outpatient · +18 other terms | 31 | $798 | $1.3k | $1.0k | 79% | — | $32 – $3.4k |
← Hospitals reporting CPT 40810 · Snapshot 20261112T181611Z-3fa9fb76