11 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 4 | $21.00 | $36.20 | $8.00 – $106.00 |
| 2 | Cigna percent of total billed charges · outpatientfrom % of charges | 4 | $20.00 | $29.60 | $6.00 – $94.00 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 2 | $15.33 | $19.00 | $8.00 – $26.00 |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 2 | $18.00 | $18.00 | $7.00 – $29.00 |
| 5 | Anthem fee schedule · outpatient · +1 other terms | 1 | $3.00 | $3.00 | $3.00 – $3.00 |
| 6 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $11.50 | $11.50 | $10.00 – $13.00 |
| 7 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $19.00 | $19.00 | $19.00 – $19.00 |
| 8 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $26.00 | $26.00 | $26.00 – $26.00 |
| 9 | Superior Healthplan fee schedule · outpatient | 1 | $24.50 | $24.50 | $20.00 – $29.00 |
| 10 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 1 | $3.00 | $3.00 | $3.00 – $3.00 |
| 11 | WellCare fee schedule · outpatient | 1 | $3.00 | $3.00 | $3.00 – $3.00 |
← Hospitals reporting CPT 40901 · Snapshot 20261108T203506Z-bb90dbab