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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 7 | $11 | $20 | $15 | 75% | — | $7 – $43 |
| 2 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 5 | $8 | $11 | $6 | 55% | — | $4 – $21 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $9 | $1 | 11% | — | $8 – $10 |
| 4 | Humana fee schedule · outpatient | 2 | $7 | $7 | $1 | 14% | — | $6 – $8 |
| 5 | Superior Healthplan fee schedule · outpatient · +1 other terms | 2 | $11 | $12 | $4 | 35% | — | $6 – $15 |
| 6 | Anthem fee schedule · outpatient · +1 other terms | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Cigna fee schedule · outpatient · +1 other terms | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 8 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 9 | MultiPlan fee schedule · outpatient · +1 other terms | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | WellCare fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Hospitals reporting CPT 64109 · Snapshot 20261110T121559Z-606c1870