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
HB Ref T3, Total
Low
$9
Average
$418
Median
$57
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 11.4× 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 · +36 other terms | 894 | $14 | $19 | $21 | 114% | 607–1,156 | $1 – $472 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 609 | $22 | $44 | $65 | 149% | 359–728 | $1 – $737 |
| 3 | Aetna fee schedule · outpatient · +35 other terms | 822 | $18 | $46 | $225 | 486% | 212–518 | $0 – $8.4k |
| 4 | Anthem fee schedule · outpatient · +24 other terms | 250 | $19 | $33 | $50 | 150% | 205–511 | $1 – $601 |
| 5 | Humana fee schedule · outpatient · +30 other terms | 611 | $14 | $33 | $45 | 138% | 94–292 | $1 – $472 |
| 6 | Optum fee schedule · outpatient · +19 other terms | 84 | $14 | $39 | $64 | 162% | 50–77 | $14 – $307 |
| 7 | Molina fee schedule · outpatient · +30 other terms | 329 | $15 | $17 | $12 | 69% | 48–111 | $1 – $240 |
| 8 | Caresource fee schedule · outpatient · +16 other terms | 117 | $16 | $19 | $15 | 76% | 41–68 | $1 – $95 |
| 9 | Ambetter fee schedule · outpatient · +20 other terms | 139 | $23 | $22 | $9 | 41% | 35–53 | $9 – $76 |
| 10 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $23 | $23 | $9 | 39% | 34 | $14 – $33 |
| 11 | Cigna fee schedule · outpatient · +27 other terms | 576 | $31 | $36 | $36 | 99% | 25–124 | $2 – $449 |
| 12 | Bcbs Al facility · other · outpatient · +5 other terms | 5 | $18 | $18 | $1 | 8% | 20–74 | $17 – $22 |
| 13 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 152 | $14 | $14 | $2 | 12% | 5–50 | $9 – $24 |
| 14 | WellCare fee schedule · outpatient · +22 other terms | 355 | $15 | $16 | $6 | 38% | 3–30 | $4 – $83 |
| 15 | Kaiser fee schedule · outpatient · +20 other terms | 133 | $14 | $31 | $75 | 244% | 3–30 | $1 – $633 |
| 16 | First Health fee schedule · outpatient · +18 other terms | 76 | $33 | $65 | $124 | 189% | 2–20 | $3 – $721 |
| 17 | Healthpartners fee schedule · outpatient · +13 other terms | 28 | $43 | $39 | $9 | 22% | 2–20 | $14 – $48 |
| 18 | Medical Mutual fee schedule · outpatient · +15 other terms | 26 | $18 | $26 | $18 | 68% | 2–20 | $13 – $106 |
| 19 | Aetna Better Health fee schedule · outpatient · +18 other terms | 125 | $13 | $13 | $4 | 34% | 1–10 | $7 – $48 |
| 20 | Superior Healthplan fee schedule · outpatient · +7 other terms | 66 | $15 | $77 | $84 | 109% | 1–10 | $12 – $300 |
| 21 | Sanford Health Plan fee schedule · outpatient · +12 other terms | 23 | $39 | $53 | $48 | 91% | 1–10 | $14 – $205 |
| 22 | Devoted fee schedule · outpatient · +15 other terms | 197 | $14 | $14 | $0 | 3% | — | $14 – $16 |
| 23 | Oscar fee schedule · outpatient · +18 other terms | 168 | $27 | $30 | $10 | 34% | — | $6 – $43 |
| 24 | MultiPlan fee schedule · outpatient · +21 other terms | 123 | $120 | $105 | $126 | 120% | — | $4 – $737 |
| 25 | Tricare facility · fee schedule · outpatient · +17 other terms | 122 | $14 | $16 | $27 | 167% | — | $3 – $360 |
← Hospitals reporting CPT 84480 · Snapshot 20261111T120946Z-9134e7f7