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
Molecule mutation identify
Low
$24
Average
$1.5k
Median
$63
High
$17.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 202.5× 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 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 20 | $58 | $60 | $22 | 36% | — | $35 – $95 |
| 2 | Cigna fee schedule · outpatient · +9 other terms | 9 | $68 | $115 | $74 | 65% | — | $20 – $216 |
| 3 | Aetna fee schedule · outpatient · +13 other terms | 8 | $68 | $66 | $15 | 23% | — | $45 – $86 |
| 4 | Anthem facility · fee schedule · outpatient · +6 other terms | 7 | $10 | $16 | $18 | 115% | — | $10 – $73 |
| 5 | Humana fee schedule · outpatient · +7 other terms | 6 | $11 | $24 | $28 | 117% | — | $11 – $85 |
| 6 | First Health fee schedule · both · +5 other terms | 5 | $19 | $19 | $2 | 8% | — | $18 – $21 |
| 7 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 4 | $92 | $92 | $46 | 50% | — | $46 – $139 |
| 8 | Excellus facility · fee schedule · outpatient | 3 | $15 | $32 | $17 | 54% | — | $15 – $49 |
| 9 | Tricare facility · fee schedule · outpatient | 3 | $198 | $174 | $58 | 33% | — | $75 – $225 |
| 10 | Aetna Better Health fee schedule · inpatient | 2 | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Ambetter professional · percent of total billed charges · bothfrom % of charges | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 2 | $168 | $168 | — | — | — | $168 – $168 |
| 13 | UnitedHealthcare facility · fee schedule · outpatient · +10 other terms | 2 | $35 | $26 | $10 | 40% | — | $21 – $49 |
| 14 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 15 | Caresource fee schedule · outpatient · +2 other terms | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Highmark other · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 17 | Kaiser facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $3 | 11% | — | $21 – $28 |
| 18 | Medical Mutual fee schedule · inpatient · +3 other terms | 1 | $176 | $176 | $5 | 3% | — | $171 – $181 |
| 19 | Medicare facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 20 | Molina fee schedule · outpatient · +3 other terms | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 21 | Optum percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | $26 | 34% | — | $44 – $128 |
| 22 | Oscar facility · per diem · outpatient | 1 | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 23 | Premera facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | $4 | 17% | — | $20 – $31 |
| 24 | Regence facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $4 | 19% | — | $20 – $31 |
| 25 | WellCare facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
← Hospitals reporting CPT 83904 · Snapshot 20261112T181611Z-3fa9fb76