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
US Nrv&Acc Strux 1 Xtr Compre W/Img PR Extremity
Low
$50
Average
$220
Median
$178
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 4.5× 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 · +35 other terms | 571 | $161 | $179 | $138 | 77% | 2–20 | $1 – $3.1k |
| 2 | Molina fee schedule · outpatient · +25 other terms | 196 | $107 | $102 | $48 | 47% | 1–10 | $1 – $421 |
| 3 | Aetna fee schedule · outpatient · +29 other terms | 428 | $105 | $179 | $563 | 314% | — | $1 – $8.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 335 | $138 | $185 | $153 | 83% | — | $0 – $844 |
| 5 | Humana fee schedule · outpatient · +27 other terms | 295 | $103 | $102 | $37 | 36% | — | $1 – $302 |
| 6 | Cigna fee schedule · outpatient · +29 other terms | 281 | $108 | $140 | $119 | 85% | — | $13 – $541 |
| 7 | Anthem fee schedule · outpatient · +25 other terms | 129 | $197 | $213 | $144 | 68% | — | $2 – $765 |
| 8 | WellCare fee schedule · outpatient · +17 other terms | 126 | $107 | $118 | $44 | 37% | — | $13 – $249 |
| 9 | Ambetter facility · fee schedule · outpatient · +15 other terms | 73 | $185 | $279 | $794 | 284% | — | $103 – $7.1k |
| 10 | Aetna Better Health fee schedule · outpatient · +13 other terms | 69 | $77 | $71 | $11 | 16% | — | $63 – $100 |
| 11 | Devoted fee schedule · outpatient · +15 other terms | 69 | $108 | $98 | $30 | 30% | — | $15 – $118 |
| 12 | Kaiser fee schedule · outpatient · +15 other terms | 67 | $149 | $184 | $138 | 75% | — | $13 – $841 |
| 13 | Oscar fee schedule · outpatient · +19 other terms | 50 | $202 | $145 | $93 | 64% | — | $1 – $299 |
| 14 | Caresource fee schedule · outpatient · +17 other terms | 41 | $131 | $337 | $133 | 40% | — | $1 – $417 |
| 15 | Optum fee schedule · outpatient · +19 other terms | 37 | $100 | $116 | $91 | 79% | — | $15 – $386 |
| 16 | Bcbs Tx fee schedule · outpatient | 31 | $329 | $361 | $166 | 46% | — | $100 – $779 |
| 17 | Clover fee schedule · outpatient · +11 other terms | 31 | $116 | $112 | $8 | 7% | — | $94 – $125 |
| 18 | First Health fee schedule · outpatient · +12 other terms | 30 | $94 | $86 | $46 | 53% | — | $32 – $375 |
| 19 | Medicare fee schedule · outpatient · +15 other terms | 29 | $15 | $48 | $44 | 92% | — | $13 – $117 |
| 20 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 27 | $75 | $89 | $16 | 17% | — | $75 – $112 |
| 21 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $133 | $132 | $26 | 20% | — | $100 – $174 |
| 22 | Superior Healthplan facility · fee schedule · outpatient · +4 other terms | 25 | $91 | $90 | $19 | 21% | — | $72 – $132 |
| 23 | MultiPlan fee schedule · outpatient · +17 other terms | 21 | $176 | $283 | $242 | 85% | — | $100 – $814 |
| 24 | Regence professional · fee schedule · outpatient · +15 other terms | 21 | $35 | $43 | $34 | 80% | — | $14 – $178 |
| 25 | Medicaid fee schedule · both · +14 other terms | 20 | $81 | $254 | $189 | 74% | — | $40 – $500 |
← Hospitals reporting CPT 76883 · Snapshot 20261112T181611Z-3fa9fb76