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.
Filter by billing methodology
Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $105.33 | $105.33 | $96.00 – $110.00 |
| 2 | Anthem percent of total billed charges · outpatientfrom % of charges | 1 | $126.00 | $126.00 | $126.00 – $126.00 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $108.50 | $108.50 | $102.00 – $115.00 |
| 4 | Cigna fee schedule · outpatient | 1 | $4,467 | $4,467 | $4,467 – $4,467 |
| 5 | Humana percent of total billed charges · outpatientfrom % of charges | 1 | $145.00 | $145.00 | $141.00 – $149.00 |
| 6 | UnitedHealthcare facility · case rate · outpatient | 1 | $4,344 | $4,344 | $4,344 – $4,344 |
← Hospitals reporting CPT 54201 · Snapshot 20261109T115250Z-6452cf6e