HC KIDNEY STONE ANALYSIS

Payers reporting CPT 82365

Payer pricing summary

Low

Average

$60

Median

$51

High

$211

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	861	$13	$18	$25	141%	106–358	$1 – $619
2	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	567	$20	$33	$33	100%	80–143	$1 – $291
3	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$30	$30	—	—	62	$30 – $30
4	Anthem fee schedule · outpatient · +25 other terms	232	$15	$24	$26	106%	40–148	$2 – $289
5	Cigna fee schedule · outpatient · +28 other terms	550	$29	$33	$29	88%	15–150	$5 – $215
6	Aetna fee schedule · outpatient · +31 other terms	785	$16	$52	$333	644%	12–120	$0 – $8.4k
7	Humana fee schedule · outpatient · +28 other terms	579	$13	$30	$39	129%	7–70	$1 – $305
8	Molina fee schedule · outpatient · +31 other terms	313	$14	$16	$10	63%	5–50	$1 – $196
9	Optum fee schedule · outpatient · +19 other terms	72	$13	$30	$38	127%	3–30	$13 – $181
10	Kaiser fee schedule · outpatient · +20 other terms	128	$13	$15	$14	94%	2–20	$2 – $178
11	Caresource fee schedule · outpatient · +16 other terms	107	$14	$18	$13	73%	2–20	$1 – $76
12	Healthpartners fee schedule · outpatient · +11 other terms	27	$39	$36	$8	22%	2–20	$13 – $44
13	First Health fee schedule · outpatient · +17 other terms	75	$13	$34	$64	190%	1–10	$7 – $453
14	Bcbs Al facility · other · outpatient · +4 other terms	4	$17	$18	$2	11%	1–10	$16 – $21
15	WellCare fee schedule · outpatient · +21 other terms	331	$13	$14	$5	34%	—	$7 – $75
16	Devoted fee schedule · outpatient · +15 other terms	187	$13	$13	$0	2%	—	$13 – $15
17	Oscar fee schedule · outpatient · +18 other terms	168	$25	$27	$9	34%	—	$13 – $39
18	Cigna Healthspring fee schedule · outpatient · +8 other terms	147	$13	$13	$1	8%	—	$8 – $21
19	Ambetter facility · fee schedule · outpatient · +19 other terms	121	$23	$24	$5	22%	—	$7 – $33
20	MultiPlan fee schedule · outpatient · +21 other terms	120	$78	$90	$102	114%	—	$8 – $705
21	Aetna Better Health fee schedule · outpatient · +17 other terms	118	$12	$13	$4	33%	—	$7 – $44
22	Tricare facility · fee schedule · outpatient · +18 other terms	111	$13	$15	$14	98%	—	$2 – $129
23	Medicare facility · fee schedule · outpatient · +14 other terms	71	$13	$13	$2	15%	—	$12 – $25
24	Medicaid facility · fee schedule · outpatient · +16 other terms	64	$13	$13	$3	26%	—	$6 – $35
25	Medica facility · fee schedule · outpatient · +17 other terms	61	$13	$14	$5	32%	—	$4 – $36

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← Hospitals reporting CPT 82365 · Snapshot 20261111T120946Z-9134e7f7