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
RL-UD-COCCI DAVIS C F QN
Low
$5
Average
$41
Median
$22
High
$351
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 7.5× 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 | Anthem fee schedule · outpatient · +17 other terms | 188 | $15 | $21 | $18 | 88% | 57–75 | $3 – $117 |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 697 | $10 | $11 | $10 | 89% | 17–35 | $1 – $181 |
| 3 | Aetna fee schedule · outpatient · +26 other terms | 662 | $11 | $48 | $380 | 800% | — | $0 – $8.4k |
| 4 | Humana fee schedule · outpatient · +23 other terms | 473 | $10 | $21 | $29 | 134% | — | $1 – $236 |
| 5 | Cigna fee schedule · outpatient · +21 other terms | 460 | $20 | $25 | $20 | 80% | — | $5 – $257 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 442 | $14 | $24 | $24 | 100% | — | $1 – $226 |
| 7 | Molina fee schedule · outpatient · +22 other terms | 271 | $11 | $12 | $5 | 43% | — | $1 – $47 |
| 8 | WellCare fee schedule · outpatient · +14 other terms | 267 | $10 | $11 | $2 | 19% | — | $8 – $31 |
| 9 | Devoted fee schedule · outpatient · +8 other terms | 194 | $10 | $10 | $0 | 3% | — | $10 – $12 |
| 10 | Oscar fee schedule · outpatient · +12 other terms | 160 | $19 | $22 | $7 | 33% | — | $10 – $31 |
| 11 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 132 | $10 | $10 | $1 | 8% | — | $8 – $17 |
| 12 | Kaiser fee schedule · outpatient · +17 other terms | 109 | $10 | $15 | $11 | 78% | — | $3 – $125 |
| 13 | Ambetter fee schedule · outpatient · +13 other terms | 96 | $17 | $15 | $5 | 31% | — | $7 – $27 |
| 14 | Aetna Better Health fee schedule · outpatient · +11 other terms | 76 | $9 | $9 | $0 | 5% | — | $9 – $11 |
| 15 | Caresource fee schedule · outpatient · +12 other terms | 64 | $10 | $11 | $3 | 27% | — | $1 – $30 |
| 16 | Optum fee schedule · outpatient · +13 other terms | 55 | $10 | $13 | $5 | 40% | — | $10 – $29 |
| 17 | Superior Healthplan fee schedule · outpatient · +4 other terms | 51 | $11 | $48 | $105 | 221% | — | $8 – $517 |
| 18 | First Health fee schedule · outpatient · +14 other terms | 44 | $10 | $15 | $10 | 70% | — | $8 – $45 |
| 19 | Clover fee schedule · outpatient · +6 other terms | 43 | $10 | $10 | $0 | 2% | — | $10 – $11 |
| 20 | MultiPlan fee schedule · outpatient · +17 other terms | 43 | $32 | $42 | $42 | 100% | — | $10 – $187 |
| 21 | Highmark facility · fee schedule · outpatient · +11 other terms | 34 | $21 | $31 | $25 | 81% | — | $7 – $99 |
| 22 | Tricare fee schedule · outpatient · +10 other terms | 33 | $10 | $10 | $0 | 3% | — | $8 – $11 |
| 23 | Amerihealth Caritas fee schedule · outpatient · +9 other terms | 30 | $12 | $12 | $5 | 40% | — | $2 – $32 |
| 24 | Healthcare Highways fee schedule · outpatient · +3 other terms | 29 | $23 | $26 | $5 | 19% | — | $14 – $30 |
| 25 | Regence fee schedule · outpatient · +10 other terms | 28 | $10 | $14 | $11 | 80% | — | $7 – $110 |
← Hospitals reporting CPT 86171 · Snapshot 20261112T181611Z-3fa9fb76