Complement system activity 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

HB Ref C3nef, C5nef (Morl)

Payers reporting CPT 86161

Payer pricing summary

Low

Average

$74

Median

$54

High

$379

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	553	$19	$34	$60	175%	18–45	$1 – $1.2k
2	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$28	$28	—	—	15	$28 – $28
3	UnitedHealthcare fee schedule · outpatient · +35 other terms	834	$12	$19	$48	255%	8–80	$1 – $1.2k
4	Anthem fee schedule · outpatient · +23 other terms	234	$15	$25	$28	114%	5–50	$2 – $288
5	Aetna fee schedule · outpatient · +28 other terms	775	$15	$52	$306	587%	4–40	$0 – $8.4k
6	Molina fee schedule · outpatient · +28 other terms	312	$13	$15	$10	64%	3–30	$1 – $195
7	Optum fee schedule · outpatient · +20 other terms	74	$12	$16	$24	149%	3–30	$12 – $344
8	Bcbs Al facility · other · outpatient · +5 other terms	5	$14	$15	$2	12%	3–30	$13 – $18
9	Humana fee schedule · outpatient · +24 other terms	569	$12	$26	$40	155%	1–10	$1 – $628
10	Caresource fee schedule · outpatient · +15 other terms	105	$13	$16	$12	72%	1–10	$1 – $72
11	Cigna fee schedule · outpatient · +24 other terms	536	$26	$31	$33	106%	—	$4 – $403
12	WellCare fee schedule · outpatient · +17 other terms	323	$12	$13	$4	30%	—	$9 – $70
13	Devoted fee schedule · outpatient · +14 other terms	191	$12	$12	$0	2%	—	$12 – $14
14	Oscar fee schedule · outpatient · +17 other terms	167	$23	$25	$9	34%	—	$12 – $37
15	Cigna Healthspring fee schedule · outpatient · +8 other terms	141	$12	$12	$1	9%	—	$7 – $20
16	Ambetter fee schedule · outpatient · +18 other terms	124	$20	$18	$6	35%	—	$8 – $45
17	Kaiser fee schedule · outpatient · +18 other terms	122	$12	$19	$28	147%	—	$3 – $255
18	Aetna Better Health fee schedule · outpatient · +19 other terms	119	$12	$12	$6	48%	—	$6 – $56
19	MultiPlan fee schedule · outpatient · +17 other terms	108	$100	$145	$219	151%	—	$8 – $1.2k
20	Tricare facility · fee schedule · outpatient · +15 other terms	102	$12	$17	$32	189%	—	$5 – $227
21	Highmark facility · fee schedule · outpatient · +17 other terms	70	$21	$40	$40	99%	—	$8 – $166
22	First Health fee schedule · outpatient · +16 other terms	65	$12	$45	$88	195%	—	$8 – $648
23	Medicaid facility · fee schedule · outpatient · +14 other terms	65	$12	$13	$4	29%	—	$6 – $33
24	Amerihealth Caritas fee schedule · outpatient · +14 other terms	59	$12	$13	$3	25%	—	$2 – $33
25	Medicare facility · fee schedule · outpatient · +13 other terms	59	$12	$13	$7	58%	—	$2 – $85

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