11 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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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 4 | $3.50 | $4.00 | $2.00 – $8.00 |
| 2 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 3 | $2.00 | $4.40 | $1.00 – $7.00 |
| 3 | Cigna percent of total billed charges · outpatientfrom % of charges | 3 | $2.00 | $2.75 | $2.00 – $4.00 |
| 4 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 2 | $3.33 | $3.00 | $2.00 – $4.00 |
| 5 | Humana fee schedule · outpatient | 2 | $3.50 | $3.50 | $1.00 – $6.00 |
| 6 | Superior Healthplan fee schedule · outpatient | 2 | $4.25 | $3.67 | $2.00 – $6.00 |
| 7 | Anthem fee schedule · outpatient · +1 other terms | 1 | $2.00 | $2.00 | $2.00 – $2.00 |
| 8 | MultiPlan fee schedule · outpatient · +1 other terms | 1 | $6.00 | $6.00 | $6.00 – $6.00 |
| 9 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $3.00 | $3.00 | $3.00 – $3.00 |
| 10 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 1 | $2.00 | $2.00 | $2.00 – $2.00 |
| 11 | WellCare fee schedule · outpatient | 1 | $2.00 | $2.00 | $2.00 – $2.00 |
← Hospitals reporting CPT 54872 · Snapshot 20261108T055240Z-43b7dac7