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
XR IVP
Low
$90
Average
$374
Median
$293
High
$2.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 4.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 603 | $273 | $286 | $229 | 80% | — | $1 – $5.2k |
| 2 | Aetna fee schedule · outpatient · +30 other terms | 572 | $233 | $480 | $661 | 138% | — | $1 – $12.9k |
| 3 | Cigna fee schedule · outpatient · +22 other terms | 406 | $413 | $442 | $250 | 57% | — | $26 – $3.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 398 | $279 | $305 | $212 | 70% | — | $1 – $2.6k |
| 5 | Humana fee schedule · outpatient · +27 other terms | 354 | $183 | $299 | $319 | 107% | — | $1 – $1.7k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 216 | $173 | $191 | $100 | 53% | — | $1 – $845 |
| 7 | WellCare fee schedule · outpatient · +18 other terms | 164 | $178 | $190 | $76 | 40% | — | $24 – $528 |
| 8 | Anthem fee schedule · outpatient · +20 other terms | 150 | $333 | $256 | $272 | 106% | — | $4 – $2.4k |
| 9 | Ambetter fee schedule · outpatient · +17 other terms | 104 | $278 | $257 | $126 | 49% | — | $60 – $589 |
| 10 | Kaiser fee schedule · outpatient · +17 other terms | 81 | $243 | $312 | $226 | 72% | — | $100 – $1.4k |
| 11 | Aetna Better Health fee schedule · outpatient · +12 other terms | 70 | $153 | $152 | $15 | 10% | — | $103 – $196 |
| 12 | Caresource fee schedule · outpatient · +15 other terms | 64 | $181 | $178 | $93 | 52% | — | $1 – $729 |
| 13 | Devoted fee schedule · outpatient · +10 other terms | 61 | $179 | $172 | $23 | 13% | — | $116 – $197 |
| 14 | MultiPlan fee schedule · outpatient · +17 other terms | 60 | $594 | $563 | $674 | 120% | — | $94 – $3.9k |
| 15 | Oscar fee schedule · outpatient · +16 other terms | 55 | $324 | $256 | $135 | 53% | — | $1 – $501 |
| 16 | Optum fee schedule · outpatient · +15 other terms | 44 | $163 | $207 | $120 | 58% | — | $116 – $647 |
| 17 | Tricare fee schedule · outpatient · +15 other terms | 44 | $178 | $208 | $156 | 75% | — | $157 – $1.1k |
| 18 | First Health fee schedule · outpatient · +13 other terms | 37 | $183 | $298 | $448 | 150% | — | $142 – $2.6k |
| 19 | Clover fee schedule · outpatient · +7 other terms | 33 | $195 | $188 | $13 | 7% | — | $158 – $212 |
| 20 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 32 | $166 | $176 | $34 | 19% | — | $142 – $288 |
| 21 | Medicare fee schedule · outpatient · +13 other terms | 26 | $116 | $132 | $37 | 28% | — | $100 – $226 |
| 22 | Regence professional · fee schedule · outpatient · +9 other terms | 26 | $67 | $67 | $57 | 85% | — | $23 – $353 |
| 23 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $223 | $222 | $44 | 20% | — | $167 – $291 |
| 24 | Superior Healthplan facility · fee schedule · outpatient · +6 other terms | 25 | $164 | $163 | $21 | 13% | — | $142 – $221 |
| 25 | Highmark fee schedule · outpatient · +13 other terms | 23 | $168 | $160 | $88 | 55% | — | $26 – $853 |
← Hospitals reporting CPT 74410 · Snapshot 20261113T090226Z-3ce6c0b8