CPT 63290
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Bx/exc xdrl/idrl lsn any lvl
Low
$118
Average
$4.5k
Median
$3.7k
High
$21.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 3.4× 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 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 232 | $7.3k | $12.1k | $12.6k | 104% | — | $289 – $55.0k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 178 | $14.6k | $28.0k | $22.2k | 79% | — | $0 – $99.4k |
| 3 | Aetna fee schedule · outpatient · +6 other terms | 149 | $2.8k | $8.2k | $10.3k | 125% | — | $79 – $82.1k |
| 4 | Cigna fee schedule · outpatient · +6 other terms | 141 | $6.8k | $14.3k | $11.5k | 80% | — | $725 – $52.9k |
| 5 | Humana fee schedule · outpatient · +6 other terms | 101 | $2.7k | $7.3k | $6.8k | 94% | — | $2.3k – $23.5k |
| 6 | Anthem fee schedule · outpatient · +4 other terms | 87 | $3.3k | $7.9k | $7.7k | 98% | — | $2.3k – $33.5k |
| 7 | Molina professional · fee schedule · outpatient · +5 other terms | 38 | $1.2k | $1.5k | $929 | 63% | — | $433 – $3.7k |
| 8 | Kaiser fee schedule · outpatient · +4 other terms | 37 | $2.7k | $2.7k | $660 | 24% | — | $1.9k – $5.4k |
| 9 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $4.5k | $4.7k | $1.9k | 41% | — | $2.3k – $12.2k |
| 10 | Regence professional · fee schedule · outpatient · +1 other terms | 26 | $1.2k | $3.4k | $2.8k | 81% | — | $433 – $8.8k |
← Hospitals reporting CPT 63290 · Snapshot 20261113T090226Z-3ce6c0b8