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
81264
Low
$125
Average
$340
Median
$313
High
$777
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 3.3× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +21 other terms | 480 | $329 | $362 | $256 | 71% | 2–20 | $5 – $1.7k |
| 2 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 740 | $173 | $186 | $103 | 55% | — | $1 – $1.6k |
| 3 | Aetna fee schedule · outpatient · +26 other terms | 699 | $196 | $383 | $467 | 122% | — | $0 – $8.4k |
| 4 | Humana fee schedule · outpatient · +24 other terms | 486 | $176 | $356 | $406 | 114% | — | $1 – $2.0k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 447 | $232 | $415 | $623 | 150% | — | $0 – $5.7k |
| 6 | WellCare fee schedule · outpatient · +15 other terms | 302 | $178 | $180 | $37 | 21% | — | $43 – $540 |
| 7 | Molina fee schedule · outpatient · +26 other terms | 278 | $188 | $204 | $87 | 43% | — | $1 – $747 |
| 8 | Devoted fee schedule · outpatient · +12 other terms | 196 | $173 | $175 | $5 | 3% | — | $169 – $200 |
| 9 | Anthem fee schedule · outpatient · +20 other terms | 192 | $190 | $296 | $292 | 99% | — | $43 – $1.3k |
| 10 | Oscar fee schedule · outpatient · +16 other terms | 165 | $334 | $368 | $123 | 33% | — | $169 – $529 |
| 11 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 130 | $180 | $175 | $16 | 9% | — | $104 – $295 |
| 12 | Kaiser fee schedule · outpatient · +17 other terms | 113 | $176 | $220 | $130 | 59% | — | $5 – $814 |
| 13 | Ambetter fee schedule · outpatient · +17 other terms | 108 | $285 | $259 | $84 | 32% | — | $88 – $549 |
| 14 | Aetna Better Health fee schedule · outpatient · +18 other terms | 71 | $157 | $158 | $11 | 7% | — | $116 – $183 |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 65 | $174 | $176 | $61 | 35% | — | $1 – $345 |
| 16 | Optum fee schedule · outpatient · +16 other terms | 65 | $173 | $227 | $141 | 62% | — | $97 – $1.1k |
| 17 | Highmark facility · fee schedule · outpatient · +13 other terms | 55 | $311 | $379 | $261 | 69% | — | $163 – $1.1k |
| 18 | MultiPlan fee schedule · outpatient · +15 other terms | 55 | $295 | $347 | $269 | 77% | — | $125 – $1.9k |
| 19 | First Health fee schedule · outpatient · +13 other terms | 51 | $173 | $205 | $187 | 91% | — | $113 – $1.7k |
| 20 | Clover fee schedule · outpatient · +7 other terms | 47 | $178 | $177 | $3 | 2% | — | $173 – $181 |
| 21 | Superior Healthplan fee schedule · outpatient · +6 other terms | 47 | $181 | $187 | $24 | 13% | — | $145 – $295 |
| 22 | Tricare fee schedule · outpatient · +15 other terms | 44 | $173 | $212 | $99 | 46% | — | $138 – $467 |
| 23 | Medicare fee schedule · both · +9 other terms | 38 | $173 | $174 | $8 | 4% | — | $173 – $233 |
| 24 | Medica facility · fee schedule · outpatient · +15 other terms | 36 | $173 | $178 | $47 | 26% | — | $59 – $447 |
| 25 | Medicaid facility · fee schedule · outpatient · +10 other terms | 35 | $154 | $143 | $39 | 27% | — | $83 – $218 |
← Hospitals reporting CPT 81264 · Snapshot 20261112T181611Z-3fa9fb76