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
Adenoidectomy Primary Age 12/>
Low
$296
Average
$3.4k
Median
$2.9k
High
$17.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 5.3× 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 · +29 other terms | 546 | $3.2k | $3.6k | $4.7k | 129% | 5–50 | $50 – $95.3k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 378 | $4.3k | $5.6k | $4.1k | 74% | 5–50 | $1 – $41.4k |
| 3 | Aetna fee schedule · outpatient · +26 other terms | 484 | $3.5k | $4.5k | $4.4k | 97% | 3–30 | $20 – $48.0k |
| 4 | Cigna case rate · outpatient · +22 other terms | 343 | $6.7k | $7.9k | $5.6k | 71% | 3–30 | $690 – $40.7k |
| 5 | Anthem fee schedule · outpatient · +20 other terms | 126 | $2.2k | $2.5k | $4.0k | 162% | 2–20 | $135 – $24.3k |
| 6 | Regence professional · fee schedule · outpatient · +13 other terms | 26 | $182 | $203 | $78 | 39% | 2–20 | $96 – $579 |
| 7 | Bcbs Al facility · other · outpatient · +4 other terms | 3 | $2.8k | $2.9k | $355 | 12% | 2–20 | $2.6k – $3.4k |
| 8 | Molina fee schedule · outpatient · +19 other terms | 221 | $2.2k | $1.9k | $1.7k | 91% | 1–10 | $1 – $9.2k |
| 9 | Tricare facility · fee schedule · outpatient · +13 other terms | 36 | $3.5k | $4.6k | $3.6k | 80% | 1–10 | $99 – $13.8k |
| 10 | MultiPlan case rate · outpatient · +18 other terms | 35 | $6.4k | $7.2k | $2.6k | 36% | 1–10 | $1.1k – $11.5k |
| 11 | Humana fee schedule · outpatient · +22 other terms | 380 | $3.2k | $2.8k | $1.6k | 59% | — | $1 – $16.7k |
| 12 | WellCare fee schedule · outpatient · +15 other terms | 188 | $3.4k | $3.4k | $1.2k | 36% | — | $200 – $7.6k |
| 13 | Oscar case rate · outpatient · +17 other terms | 136 | $5.6k | $5.3k | $1.5k | 28% | — | $2.4k – $10.1k |
| 14 | Kaiser fee schedule · outpatient · +16 other terms | 98 | $4.1k | $4.7k | $4.1k | 88% | — | $50 – $22.4k |
| 15 | Ambetter fee schedule · outpatient · +12 other terms | 82 | $5.1k | $4.3k | $2.4k | 56% | — | $297 – $8.0k |
| 16 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $3.7k | $4.2k | $977 | 23% | — | $2.7k – $5.5k |
| 17 | Aetna Better Health fee schedule · outpatient · +10 other terms | 74 | $1.1k | $1.2k | $909 | 75% | — | $211 – $11.4k |
| 18 | Devoted fee schedule · outpatient · +9 other terms | 72 | $3.3k | $3.0k | $1.1k | 36% | — | $215 – $3.7k |
| 19 | Caresource fee schedule · outpatient · +12 other terms | 57 | $3.1k | $2.5k | $1.5k | 59% | — | $217 – $5.7k |
| 20 | Optum fee schedule · outpatient · +14 other terms | 43 | $3.0k | $3.3k | $2.8k | 85% | — | $230 – $12.2k |
| 21 | Highmark facility · fee schedule · outpatient · +11 other terms | 39 | $3.6k | $3.6k | $2.7k | 76% | — | $206 – $11.5k |
| 22 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.0k | $549 | 54% | — | $929 – $4.9k |
| 23 | Amerihealth Caritas case rate · outpatient · +10 other terms | 35 | $700 | $5.0k | $4.3k | 85% | — | $662 – $10.5k |
| 24 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $3.9k | $3.8k | $1.8k | 48% | — | $887 – $10.9k |
| 25 | Clover fee schedule · outpatient · +8 other terms | 32 | $3.5k | $3.5k | $209 | 6% | — | $3.0k – $3.8k |
← Hospitals reporting CPT 42831 · Snapshot 20261111T120946Z-9134e7f7