Serum protein electrophoresis test

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Protein Elect Frac+Qnt

Payers reporting CPT 84165

Payer pricing summary

Low

Average

$186

Median

$48

High

$3.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +37 other terms	887	$11	$15	$20	130%	1,227–1,767	$1 – $357
2	Anthem fee schedule · outpatient · +28 other terms	246	$12	$17	$23	137%	361–811	$1 – $351
3	Aetna fee schedule · outpatient · +36 other terms	809	$14	$35	$201	578%	251–746	$0 – $8.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	599	$17	$27	$29	105%	250–637	$1 – $322
5	Humana fee schedule · outpatient · +30 other terms	595	$11	$27	$34	126%	164–344	$1 – $357
6	Optum fee schedule · outpatient · +23 other terms	74	$11	$30	$47	156%	78–114	$8 – $216
7	Cigna Healthspring fee schedule · outpatient · +9 other terms	152	$11	$11	$1	13%	59–167	$6 – $18
8	Bcbs Al facility · other · outpatient · +5 other terms	4	$17	$18	$2	11%	33–51	$16 – $21
9	Healthpartners fee schedule · outpatient · +13 other terms	28	$32	$32	$5	17%	28–55	$11 – $36
10	Superior Healthplan fee schedule · outpatient · +6 other terms	65	$11	$49	$44	90%	26–53	$9 – $227
11	First Health fee schedule · outpatient · +18 other terms	76	$11	$23	$41	180%	16–43	$3 – $235
12	Cigna fee schedule · outpatient · +27 other terms	564	$24	$27	$26	97%	7–70	$2 – $219
13	WellCare fee schedule · outpatient · +23 other terms	344	$11	$12	$4	36%	4–40	$6 – $63
14	Ambetter fee schedule · outpatient · +21 other terms	128	$17	$17	$10	59%	4–40	$7 – $93
15	Molina fee schedule · outpatient · +31 other terms	328	$12	$13	$8	65%	3–30	$1 – $184
16	Kaiser fee schedule · outpatient · +22 other terms	131	$11	$11	$8	73%	1–10	$1 – $115
17	Caresource fee schedule · outpatient · +17 other terms	116	$12	$15	$12	76%	1–10	$1 – $79
18	Sanford Health Plan fee schedule · outpatient · +18 other terms	23	$30	$38	$40	107%	1–10	$10 – $268
19	Devoted fee schedule · outpatient · +17 other terms	187	$11	$11	$0	2%	—	$8 – $12
20	Oscar fee schedule · outpatient · +19 other terms	168	$21	$23	$8	34%	—	$8 – $33
21	Aetna Better Health fee schedule · outpatient · +19 other terms	125	$10	$11	$6	57%	—	$4 – $50
22	MultiPlan fee schedule · outpatient · +21 other terms	123	$77	$61	$74	122%	—	$4 – $396
23	Tricare facility · fee schedule · outpatient · +20 other terms	111	$10	$14	$24	166%	—	$3 – $188
24	Highmark facility · fee schedule · outpatient · +18 other terms	70	$18	$30	$23	78%	—	$7 – $106
25	Medicaid facility · fee schedule · outpatient · +16 other terms	69	$11	$11	$3	27%	—	$3 – $30

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