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
HC LYMPHANGIOGRAPHY EXTREM ONLY BILATERAL W/ S&I
Low
$279
Average
$1.6k
Median
$1.4k
High
$5.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 3.6× 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 · +31 other terms | 594 | $1.8k | $1.9k | $1.6k | 86% | — | $1 – $45.7k |
| 2 | Aetna fee schedule · outpatient · +31 other terms | 542 | $1.7k | $3.8k | $4.1k | 107% | — | $1 – $26.3k |
| 3 | Cigna fee schedule · outpatient · +25 other terms | 412 | $1.6k | $2.0k | $1.9k | 98% | — | $82 – $15.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 382 | $1.7k | $2.0k | $1.8k | 88% | — | $1 – $11.7k |
| 5 | Humana fee schedule · outpatient · +25 other terms | 339 | $1.5k | $1.3k | $1.0k | 79% | — | $1 – $5.4k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 206 | $1.5k | $1.1k | $966 | 91% | — | $1 – $6.1k |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 157 | $1.6k | $1.5k | $786 | 52% | — | $51 – $3.6k |
| 8 | Anthem fee schedule · outpatient · +22 other terms | 137 | $966 | $653 | $1.4k | 216% | — | $37 – $11.5k |
| 9 | Ambetter fee schedule · outpatient · +14 other terms | 84 | $2.0k | $1.8k | $1.2k | 69% | — | $12 – $3.8k |
| 10 | Kaiser fee schedule · outpatient · +19 other terms | 82 | $2.3k | $2.5k | $2.0k | 77% | — | $186 – $11.7k |
| 11 | Aetna Better Health fee schedule · outpatient · +17 other terms | 70 | $324 | $451 | $319 | 71% | — | $324 – $1.8k |
| 12 | Caresource fee schedule · outpatient · +13 other terms | 69 | $722 | $942 | $609 | 65% | — | $1 – $2.7k |
| 13 | Devoted fee schedule · outpatient · +11 other terms | 63 | $1.6k | $1.6k | $89 | 6% | — | $1.5k – $1.8k |
| 14 | MultiPlan fee schedule · outpatient · +19 other terms | 51 | $1.9k | $1.7k | $1.3k | 76% | — | $280 – $6.8k |
| 15 | Oscar fee schedule · outpatient · +14 other terms | 47 | $3.1k | $2.7k | $1.1k | 42% | — | $93 – $4.5k |
| 16 | Optum fee schedule · outpatient · +19 other terms | 35 | $1.6k | $2.1k | $1.2k | 57% | — | $125 – $5.8k |
| 17 | First Health fee schedule · outpatient · +14 other terms | 33 | $1.6k | $903 | $1.1k | 125% | — | $300 – $5.9k |
| 18 | Tricare fee schedule · outpatient · +14 other terms | 33 | $1.5k | $1.3k | $461 | 36% | — | $645 – $2.0k |
| 19 | Clover fee schedule · outpatient · +7 other terms | 32 | $1.7k | $1.7k | $107 | 6% | — | $1.4k – $1.9k |
| 20 | Bcbs Tx fee schedule · outpatient · +5 other terms | 28 | $3.5k | $3.8k | $1.6k | 42% | — | $1.5k – $8.0k |
| 21 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 27 | $315 | $865 | $616 | 71% | — | $315 – $1.6k |
| 22 | Medicare fee schedule · outpatient · +13 other terms | 24 | $1.6k | $1.6k | $24 | 2% | — | $1.4k – $1.6k |
| 23 | Highmark fee schedule · outpatient · +12 other terms | 22 | $590 | $596 | $819 | 138% | — | $51 – $4.6k |
| 24 | Regence professional · fee schedule · outpatient · +11 other terms | 21 | $55 | $115 | $147 | 127% | — | $55 – $627 |
| 25 | Amerihealth Caritas fee schedule · both · +9 other terms | 17 | $133 | $642 | $664 | 103% | — | $49 – $1.7k |
← Hospitals reporting CPT 75803 · Snapshot 20261113T090226Z-3ce6c0b8