6 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | $6 | 7% | — | $84 – $97 |
| 2 | Anthem percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | $6 | 6% | — | $90 – $101 |
| 4 | Cigna fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 5 | Humana percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | $4 | 3% | — | $124 – $131 |
| 6 | UnitedHealthcare facility · case rate · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
← Hospitals reporting CPT 42501 · Snapshot 20261110T121559Z-606c1870