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
HC INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC
Low
$144
Average
$759
Median
$491
High
$6.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 6.9× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 516 | $254 | $829 | $1.5k | 186% | — | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +27 other terms | 464 | $271 | $1.1k | $2.0k | 185% | — | $1 – $21.3k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 362 | $232 | $428 | $914 | 214% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 357 | $427 | $951 | $1.8k | 185% | — | $1 – $18.0k |
| 5 | Cigna case rate · outpatient · +23 other terms | 307 | $3.0k | $4.6k | $6.2k | 135% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +22 other terms | 217 | $181 | $172 | $137 | 80% | — | $1 – $1.4k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 166 | $233 | $329 | $550 | 167% | — | $92 – $4.3k |
| 8 | Oscar case rate · outpatient · +19 other terms | 137 | $2.6k | $2.7k | $715 | 27% | — | $363 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +23 other terms | 123 | $250 | $700 | $1.6k | 224% | — | $62 – $11.5k |
| 10 | Kaiser fee schedule · outpatient · +18 other terms | 99 | $310 | $487 | $674 | 138% | — | $20 – $4.3k |
| 11 | Ambetter facility · fee schedule · outpatient · +14 other terms | 83 | $443 | $584 | $1.0k | 174% | — | $216 – $8.2k |
| 12 | Devoted fee schedule · outpatient · +12 other terms | 67 | $235 | $226 | $41 | 18% | — | $117 – $265 |
| 13 | Aetna Better Health fee schedule · outpatient · +13 other terms | 65 | $111 | $117 | $32 | 27% | — | $96 – $367 |
| 14 | Optum fee schedule · outpatient · +19 other terms | 54 | $214 | $1.6k | $4.2k | 270% | — | $117 – $21.9k |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 53 | $259 | $434 | $878 | 202% | — | $1 – $4.3k |
| 16 | MultiPlan fee schedule · outpatient · +19 other terms | 50 | $392 | $517 | $548 | 106% | — | $151 – $7.3k |
| 17 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $6.5k | $5.1k | 79% | — | $1.1k – $14.6k |
| 18 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $934 | $82 | 9% | — | $349 – $948 |
| 19 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $370 | $1.8k | $1.4k | 78% | — | $130 – $3.3k |
| 20 | Clover fee schedule · outpatient · +9 other terms | 31 | $259 | $805 | $1.3k | 167% | — | $214 – $4.4k |
| 21 | Bcbs Tx fee schedule · outpatient · +2 other terms | 30 | $299 | $292 | $144 | 49% | — | $88 – $845 |
| 22 | First Health fee schedule · outpatient · +19 other terms | 29 | $248 | $1.2k | $2.4k | 198% | — | $88 – $7.2k |
| 23 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 28 | $92 | $156 | $69 | 44% | — | $92 – $244 |
| 24 | Medica case rate · outpatient · +14 other terms | 28 | $827 | $994 | $708 | 71% | — | $128 – $2.9k |
| 25 | Tricare fee schedule · outpatient · +14 other terms | 28 | $302 | $980 | $1.7k | 176% | — | $110 – $5.1k |
← Hospitals reporting CPT 41005 · Snapshot 20261113T090226Z-3ce6c0b8