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 US GUIDE PLC NDL
Low
$0
Average
$460
Median
$386
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 5.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ucare professional · fee schedule · outpatient · +19 other terms | 30 | $46 | $46 | $19 | 42% | 132–186 | $2 – $113 |
| 2 | UnitedHealthcare fee schedule · outpatient · +44 other terms | 349 | $136 | $332 | $670 | 202% | 88–142 | $1 – $8.4k |
| 3 | Medicare professional · fee schedule · outpatient · +19 other terms | 25 | $44 | $48 | $18 | 36% | 60–87 | $2 – $67 |
| 4 | Kaiser fee schedule · outpatient · +27 other terms | 64 | $61 | $271 | $591 | 218% | 55 | $9 – $6.9k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 383 | $86 | $154 | $265 | 172% | 38–128 | $1 – $5.0k |
| 6 | Cigna fee schedule · outpatient · +36 other terms | 183 | $350 | $479 | $916 | 191% | 36–81 | $21 – $11.1k |
| 7 | Humana fee schedule · outpatient · +33 other terms | 231 | $111 | $199 | $429 | 215% | 34–52 | $1 – $7.2k |
| 8 | Aetna fee schedule · outpatient · +42 other terms | 502 | $141 | $317 | $394 | 124% | 24–240 | $1 – $5.0k |
| 9 | Medica fee schedule · outpatient · +25 other terms | 48 | $204 | $281 | $313 | 112% | 8–80 | $26 – $1.2k |
| 10 | Anthem fee schedule · outpatient · +35 other terms | 166 | $172 | $177 | $260 | 146% | 7–70 | $7 – $4.7k |
| 11 | Molina fee schedule · outpatient · +36 other terms | 107 | $79 | $93 | $98 | 105% | 4–40 | $1 – $729 |
| 12 | Optum professional · fee schedule · outpatient · +19 other terms | 38 | $49 | $47 | $17 | 36% | 4–40 | $2 – $68 |
| 13 | Florida Blue fee schedule · outpatient · +3 other terms | 1 | $268 | $268 | $64 | 24% | 3–30 | $210 – $399 |
| 14 | Bcbs Al facility · other · outpatient · +4 other terms | 4 | $161 | $174 | $18 | 10% | 2–20 | $149 – $195 |
| 15 | First Health fee schedule · outpatient · +19 other terms | 40 | $1.1k | $986 | $986 | 100% | 1–10 | $20 – $6.1k |
| 16 | MultiPlan fee schedule · outpatient · +24 other terms | 116 | $870 | $982 | $1.1k | 115% | — | $24 – $6.9k |
| 17 | Highmark facility · fee schedule · outpatient · +21 other terms | 62 | $88 | $274 | $442 | 161% | — | $23 – $3.2k |
| 18 | WellCare fee schedule · outpatient · +25 other terms | 50 | $65 | $88 | $68 | 78% | — | $24 – $348 |
| 19 | Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms | 49 | $86 | $120 | $79 | 66% | — | $43 – $354 |
| 20 | Caresource fee schedule · outpatient · +21 other terms | 46 | $108 | $126 | $97 | 77% | — | $1 – $846 |
| 21 | Medicaid facility · fee schedule · outpatient · +19 other terms | 41 | $43 | $137 | $117 | 85% | — | $24 – $428 |
| 22 | Regence professional · fee schedule · outpatient · +22 other terms | 41 | $37 | $66 | $43 | 65% | — | $2 – $183 |
| 23 | Aetna Better Health fee schedule · outpatient · +18 other terms | 36 | $53 | $65 | $45 | 68% | — | $30 – $245 |
| 24 | Ambetter fee schedule · both · +22 other terms | 35 | $70 | $106 | $171 | 162% | — | $26 – $1.8k |
| 25 | Tricare professional · fee schedule · outpatient · +20 other terms | 32 | $42 | $43 | $15 | 35% | — | $2 – $66 |
← Hospitals reporting CPT 76942 · Snapshot 20261111T120946Z-9134e7f7