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.
One figure per payer: its average rate for this code across its hospitals, under the terms chosen below.
Low
$25
Average
$1.5k
Median
$32
High
$4.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below. 6 payers; the 90th percentile is 174.5× 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 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | $1 | 6% | — | $23 – $26 |
| 2 | Anthem percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | $2 | 6% | — | $24 – $27 |
| 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 | $34 | $34 | $1 | 3% | — | $33 – $35 |
| 6 | UnitedHealthcare facility · case rate · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
← Hospitals reporting CPT 43102 · Snapshot 20261110T202143Z-6f619f9d