CPT 81458
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
So gsap dna cpy nmbr&mcrstl
Low
$530
Average
$1.3k
Median
$1.1k
High
$2.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 2.1× 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 · +6 other terms | 574 | $1.0k | $1.0k | $635 | 62% | — | $50 – $9.4k |
| 2 | Aetna fee schedule · outpatient · +4 other terms | 527 | $1.1k | $1.4k | $1.0k | 71% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +4 other terms | 377 | $1.0k | $1.1k | $318 | 30% | — | $417 – $4.2k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 359 | $1.1k | $1.5k | $875 | 60% | — | $0 – $8.4k |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 252 | $1.1k | $1.1k | $181 | 16% | — | $527 – $2.1k |
| 6 | Molina fee schedule · outpatient · +3 other terms | 217 | $1.0k | $1.0k | $649 | 64% | — | $274 – $3.1k |
| 7 | Devoted fee schedule · outpatient · +1 other terms | 193 | $1.0k | $1.1k | $32 | 3% | — | $1.0k – $1.2k |
| 8 | Cigna fee schedule · outpatient · +4 other terms | 177 | $1.1k | $1.4k | $665 | 46% | — | $523 – $3.8k |
| 9 | Oscar fee schedule · outpatient · +1 other terms | 159 | $2.0k | $2.3k | $751 | 33% | — | $1.0k – $3.2k |
| 10 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 124 | $1.1k | $1.0k | $134 | 13% | — | $527 – $1.1k |
← Hospitals reporting CPT 81458 · Snapshot 20261113T090226Z-3ce6c0b8