9 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 | 3 | $15.00 | $104.67 | $2.00 – $412.00 |
| 2 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 3 | $31.00 | $29.13 | $1.00 – $46.00 |
| 3 | Cigna percent of total billed charges · outpatientfrom % of charges | 2 | $93.50 | $118.25 | $4.00 – $388.00 |
| 4 | Superior Healthplan fee schedule · outpatient · +1 other terms | 2 | $87.33 | $100.20 | $4.00 – $480.00 |
| 5 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $140.67 | $140.67 | $3.00 – $437.00 |
| 6 | Humana fee schedule · outpatient | 1 | $1.00 | $1.00 | $1.00 – $1.00 |
| 7 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $178.67 | $178.67 | $5.00 – $485.00 |
| 8 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $161.00 | $161.00 | $5.00 – $437.00 |
| 9 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $4,344 | $4,344 | $4,344 – $4,344 |
← Hospitals reporting CPT 57401 · Snapshot 20261109T115250Z-6452cf6e