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
Hdr Sk Sur Brchytx Les Dia>2.0cm/>2 Ch/Mu Les
Low
$123
Average
$937
Median
$612
High
$5.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 6.3× 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 | 340 | $375 | $532 | $1.2k | 228% | 2–20 | $1 – $17.4k |
| 2 | Wellmark case rate · outpatient · +8 other terms | 13 | $250 | $1.3k | $2.5k | 191% | 2–20 | $247 – $7.6k |
| 3 | Optum fee schedule · outpatient · +15 other terms | 38 | $350 | $457 | $282 | 62% | 1–10 | $241 – $1.4k |
| 4 | Aetna fee schedule · outpatient · +31 other terms | 507 | $483 | $1.1k | $2.1k | 200% | — | $1 – $69.0k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 335 | $745 | $974 | $831 | 85% | — | $1 – $6.1k |
| 6 | Humana fee schedule · outpatient · +23 other terms | 303 | $374 | $753 | $1.1k | 141% | — | $1 – $5.3k |
| 7 | Cigna fee schedule · outpatient · +25 other terms | 291 | $687 | $728 | $950 | 130% | — | $108 – $15.6k |
| 8 | WellCare fee schedule · outpatient · +14 other terms | 142 | $269 | $348 | $178 | 51% | — | $77 – $1.3k |
| 9 | Molina fee schedule · outpatient · +22 other terms | 132 | $410 | $431 | $247 | 57% | — | $1 – $1.1k |
| 10 | Anthem fee schedule · outpatient · +24 other terms | 124 | $892 | $732 | $729 | 100% | — | $8 – $6.3k |
| 11 | Ambetter facility · fee schedule · outpatient · +15 other terms | 80 | $634 | $701 | $671 | 96% | — | $244 – $7.1k |
| 12 | Kaiser fee schedule · outpatient · +16 other terms | 71 | $558 | $663 | $432 | 65% | — | $253 – $2.6k |
| 13 | Devoted fee schedule · outpatient · +14 other terms | 61 | $291 | $327 | $57 | 17% | — | $257 – $430 |
| 14 | Oscar facility · fee schedule · outpatient · +16 other terms | 51 | $549 | $517 | $132 | 26% | — | $240 – $725 |
| 15 | Caresource fee schedule · outpatient · +15 other terms | 49 | $369 | $382 | $474 | 124% | — | $1 – $2.7k |
| 16 | Highmark facility · fee schedule · outpatient · +15 other terms | 36 | $459 | $521 | $333 | 64% | — | $55 – $1.3k |
| 17 | Bcbs Tx fee schedule · outpatient · +4 other terms | 32 | $1.2k | $1.2k | $557 | 45% | — | $247 – $2.3k |
| 18 | MultiPlan fee schedule · outpatient · +17 other terms | 32 | $470 | $973 | $1.5k | 158% | — | $247 – $7.5k |
| 19 | Clover fee schedule · outpatient · +8 other terms | 31 | $295 | $333 | $54 | 16% | — | $261 – $434 |
| 20 | Medicare fee schedule · outpatient · +12 other terms | 28 | $294 | $310 | $57 | 18% | — | $239 – $430 |
| 21 | Tricare fee schedule · outpatient · +14 other terms | 28 | $350 | $295 | $88 | 30% | — | $188 – $457 |
| 22 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $490 | $488 | $97 | 20% | — | $368 – $640 |
| 23 | Regence facility · fee schedule · outpatient · +11 other terms | 21 | $406 | $503 | $217 | 43% | — | $243 – $1.0k |
| 24 | Superior Healthplan facility · fee schedule · outpatient · +4 other terms | 21 | $407 | $399 | $9 | 2% | — | $387 – $407 |
| 25 | Aetna Better Health fee schedule · outpatient · +15 other terms | 19 | $247 | $259 | $84 | 32% | — | $153 – $432 |
← Hospitals reporting CPT 77768 · Snapshot 20261112T181611Z-3fa9fb76