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 TBS TECHNICAL CALCULATION ONLY
Low
$2
Average
$144
Median
$127
High
$607
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 5.6× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 584 | $132 | $147 | $102 | 69% | — | $1 – $2.6k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 462 | $89 | $191 | $644 | 337% | — | $1 – $8.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 333 | $157 | $175 | $120 | 69% | — | $1 – $666 |
| 4 | Cigna fee schedule · outpatient · +24 other terms | 312 | $196 | $243 | $138 | 57% | — | $23 – $866 |
| 5 | Humana fee schedule · outpatient · +25 other terms | 268 | $88 | $88 | $24 | 27% | — | $1 – $251 |
| 6 | Molina fee schedule · outpatient · +22 other terms | 139 | $100 | $123 | $78 | 63% | — | $1 – $603 |
| 7 | WellCare fee schedule · outpatient · +16 other terms | 136 | $89 | $100 | $33 | 33% | — | $4 – $206 |
| 8 | Anthem fee schedule · outpatient · +23 other terms | 129 | $109 | $118 | $123 | 104% | — | $2 – $890 |
| 9 | Ambetter fee schedule · outpatient · +13 other terms | 81 | $151 | $146 | $54 | 37% | — | $33 – $284 |
| 10 | Devoted fee schedule · outpatient · +12 other terms | 72 | $89 | $83 | $20 | 24% | — | $27 – $98 |
| 11 | Kaiser fee schedule · outpatient · +11 other terms | 63 | $126 | $158 | $122 | 77% | — | $23 – $683 |
| 12 | Optum fee schedule · outpatient · +16 other terms | 51 | $81 | $95 | $62 | 65% | — | $27 – $321 |
| 13 | Oscar fee schedule · outpatient · +16 other terms | 50 | $166 | $122 | $76 | 62% | — | $1 – $248 |
| 14 | Caresource fee schedule · outpatient · +11 other terms | 36 | $132 | $229 | $109 | 48% | — | $1 – $322 |
| 15 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $298 | $304 | $126 | 41% | — | $83 – $628 |
| 16 | Clover fee schedule · outpatient · +7 other terms | 26 | $96 | $93 | $7 | 7% | — | $79 – $104 |
| 17 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $110 | $110 | $22 | 20% | — | $83 – $144 |
| 18 | Medicare fee schedule · outpatient · +13 other terms | 25 | $27 | $44 | $29 | 65% | — | $23 – $97 |
| 19 | Tricare other · outpatient · +13 other terms | 24 | $81 | $82 | $23 | 28% | — | $32 – $102 |
| 20 | Highmark fee schedule · outpatient · +12 other terms | 22 | $89 | $68 | $77 | 113% | — | $25 – $531 |
| 21 | Amerihealth Caritas other · outpatient · +7 other terms | 21 | $69 | $75 | $35 | 46% | — | $17 – $144 |
| 22 | Regence facility · fee schedule · outpatient · +8 other terms | 21 | $92 | $137 | $87 | 63% | — | $82 – $345 |
| 23 | Superior Healthplan facility · fee schedule · outpatient · +3 other terms | 21 | $92 | $90 | $2 | 2% | — | $87 – $92 |
| 24 | Bcbs La fee schedule · outpatient · +3 other terms | 20 | $140 | $174 | $100 | 58% | — | $62 – $394 |
| 25 | Aetna Better Health other · outpatient · +15 other terms | 18 | $53 | $60 | $34 | 56% | — | $17 – $144 |
← Hospitals reporting CPT 77091 · Snapshot 20261111T120946Z-9134e7f7