X-ray of abscess, fistula, or sinus tract

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Xr Sinus Tract/Fistula/Abscess

Payers reporting CPT 76080

Payer pricing summary

Low

$54

Average

$543

Median

$522

High

$1.6k

Payer rate distribution

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#
1	Medicare other · both · +21 other terms	49	$586	$630	$139	22%	162–288	$502 – $1.3k
2	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	510	$578	$625	$671	107%	55–73	$1 – $4.0k
3	UnitedHealthcare fee schedule · outpatient · +39 other terms	757	$621	$598	$609	102%	8–80	$1 – $16.1k
4	Anthem fee schedule · outpatient · +29 other terms	188	$196	$189	$368	195%	5–50	$10 – $4.0k
5	Cigna fee schedule · outpatient · +33 other terms	527	$536	$711	$736	103%	4–40	$19 – $8.4k
6	Molina fee schedule · outpatient · +33 other terms	254	$399	$320	$324	102%	4–40	$1 – $1.5k
7	Bcbs Al facility · other · outpatient · +5 other terms	4	$172	$177	$17	10%	4–40	$164 – $208
8	Humana fee schedule · outpatient · +32 other terms	410	$529	$369	$271	73%	3–30	$1 – $1.6k
9	Aetna fee schedule · outpatient · +38 other terms	700	$453	$485	$552	114%	2–20	$1 – $8.4k
10	First Health fee schedule · outpatient · +21 other terms	66	$602	$560	$596	106%	2–20	$29 – $3.1k
11	Medica fee schedule · outpatient · +25 other terms	44	$236	$272	$311	114%	1–10	$20 – $1.8k
12	Bcbs In other · both · +1 other terms	11	$2.0k	$2.1k	$323	16%	1–10	$1.3k – $2.6k
13	WellCare fee schedule · outpatient · +25 other terms	172	$551	$521	$257	49%	—	$15 – $1.3k
14	MultiPlan fee schedule · outpatient · +25 other terms	133	$885	$797	$565	71%	—	$31 – $3.6k
15	Kaiser fee schedule · outpatient · +27 other terms	109	$594	$745	$794	107%	—	$24 – $5.2k
16	Ambetter fee schedule · outpatient · +23 other terms	103	$921	$715	$460	64%	—	$22 – $1.8k
17	Devoted facility · fee schedule · outpatient · +19 other terms	97	$548	$590	$362	61%	—	$224 – $4.9k
18	Aetna Better Health fee schedule · outpatient · +19 other terms	87	$65	$136	$206	151%	—	$32 – $1.9k
19	Tricare facility · fee schedule · outpatient · +21 other terms	73	$549	$579	$376	65%	—	$30 – $4.6k
20	Oscar facility · fee schedule · outpatient · +22 other terms	70	$784	$684	$286	42%	—	$60 – $1.0k
21	Caresource fee schedule · outpatient · +21 other terms	67	$416	$336	$306	91%	—	$1 – $1.2k
22	Highmark facility · fee schedule · outpatient · +23 other terms	67	$492	$539	$539	100%	—	$17 – $2.5k
23	Optum fee schedule · outpatient · +25 other terms	60	$503	$586	$431	74%	—	$26 – $2.0k
24	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	53	$43	$208	$267	128%	—	$17 – $1.2k
25	Cigna Healthspring fee schedule · outpatient · +11 other terms	47	$443	$378	$234	62%	—	$52 – $676

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