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
facility
Low
$9
Average
$153
Median
$48
High
$2.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 14.8× 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 · +27 other terms | 251 | $17 | $27 | $59 | 217% | 471–1,452 | $1 – $759 |
| 2 | Molina fee schedule · outpatient · +31 other terms | 330 | $16 | $16 | $10 | 60% | 331–556 | $1 – $195 |
| 3 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 895 | $14 | $19 | $22 | 115% | 312–825 | $1 – $479 |
| 4 | Aetna fee schedule · outpatient · +35 other terms | 819 | $18 | $54 | $194 | 358% | 63–333 | $0 – $8.4k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 609 | $22 | $41 | $51 | 125% | 54–297 | $1 – $759 |
| 6 | Healthpartners fee schedule · outpatient · +12 other terms | 27 | $44 | $39 | $8 | 21% | 46–73 | $15 – $49 |
| 7 | Cigna fee schedule · outpatient · +28 other terms | 570 | $30 | $41 | $132 | 325% | 37–244 | $1 – $6.9k |
| 8 | Aetna Better Health fee schedule · outpatient · +19 other terms | 124 | $13 | $14 | $7 | 47% | 11 | $8 – $67 |
| 9 | Humana fee schedule · outpatient · +29 other terms | 609 | $15 | $30 | $41 | 139% | 6–60 | $1 – $479 |
| 10 | Optum fee schedule · outpatient · +22 other terms | 80 | $14 | $31 | $46 | 150% | 4–40 | $5 – $246 |
| 11 | Bcbs Al facility · other · outpatient · +4 other terms | 4 | $15 | $15 | $1 | 10% | 4–40 | $14 – $18 |
| 12 | Ambetter fee schedule · outpatient · +21 other terms | 133 | $24 | $31 | $123 | 401% | 3–30 | $9 – $1.6k |
| 13 | Bcbs Ar fee schedule · both | 1 | $16 | $16 | — | — | 2–20 | $16 – $16 |
| 14 | Caresource fee schedule · outpatient · +17 other terms | 115 | $16 | $25 | $22 | 88% | 1–10 | $1 – $96 |
| 15 | Superior Healthplan fee schedule · outpatient · +6 other terms | 67 | $15 | $60 | $51 | 85% | 1–10 | $12 – $304 |
| 16 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $24 | $24 | $9 | 39% | 1–10 | $14 – $33 |
| 17 | WellCare fee schedule · outpatient · +22 other terms | 355 | $15 | $25 | $80 | 316% | — | $11 – $812 |
| 18 | Devoted fee schedule · outpatient · +16 other terms | 197 | $14 | $15 | $0 | 3% | — | $12 – $16 |
| 19 | Oscar fee schedule · outpatient · +18 other terms | 168 | $28 | $30 | $10 | 34% | — | $14 – $44 |
| 20 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 148 | $15 | $15 | $2 | 14% | — | $9 – $25 |
| 21 | Kaiser fee schedule · outpatient · +20 other terms | 133 | $15 | $19 | $37 | 198% | — | $1 – $426 |
| 22 | Tricare facility · fee schedule · outpatient · +19 other terms | 128 | $14 | $15 | $16 | 107% | — | $0 – $148 |
| 23 | MultiPlan fee schedule · outpatient · +21 other terms | 120 | $96 | $76 | $84 | 111% | — | $1 – $496 |
| 24 | Highmark facility · fee schedule · outpatient · +18 other terms | 82 | $25 | $37 | $30 | 81% | — | $10 – $136 |
| 25 | First Health fee schedule · outpatient · +18 other terms | 75 | $29 | $38 | $71 | 188% | — | $4 – $485 |
← Hospitals reporting CPT 86762 · Snapshot 20261111T120946Z-9134e7f7