10 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 | 3 | $40.00 | $54.00 | $4.00 – $168.00 |
| 2 | Cigna percent of total billed charges · outpatientfrom % of charges | 3 | $36.50 | $56.50 | $4.00 – $149.00 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 2 | $23.00 | $13.50 | $3.00 – $42.00 |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 2 | $20.00 | $20.00 | $5.00 – $35.00 |
| 5 | Anthem fee schedule · outpatient · +1 other terms | 1 | $16.00 | $16.00 | $16.00 – $16.00 |
| 6 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $30.00 | $30.00 | $30.00 – $30.00 |
| 7 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $5.00 | $5.00 | $5.00 – $5.00 |
| 8 | Superior Healthplan fee schedule · outpatient | 1 | $4.50 | $4.50 | $4.00 – $5.00 |
| 9 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 1 | $16.00 | $16.00 | $16.00 – $16.00 |
| 10 | WellCare fee schedule · outpatient | 1 | $16.00 | $16.00 | $16.00 – $16.00 |
← Hospitals reporting CPT 54856 · Snapshot 20261108T203506Z-bb90dbab