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
Pra (Monthly Screen)
Low
$39
Average
$188
Median
$124
High
$741
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 5.0× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 671 | $79 | $88 | $67 | 76% | — | $5 – $708 |
| 2 | Aetna fee schedule · outpatient · +21 other terms | 636 | $84 | $211 | $387 | 184% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +21 other terms | 463 | $80 | $162 | $186 | 115% | — | $5 – $851 |
| 4 | Cigna fee schedule · outpatient · +19 other terms | 452 | $153 | $158 | $119 | 75% | — | $5 – $792 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 409 | $110 | $168 | $133 | 79% | — | $1 – $893 |
| 6 | WellCare fee schedule · outpatient · +11 other terms | 287 | $81 | $90 | $32 | 36% | — | $56 – $382 |
| 7 | Molina fee schedule · outpatient · +18 other terms | 255 | $86 | $91 | $40 | 43% | — | $1 – $289 |
| 8 | Devoted fee schedule · outpatient · +7 other terms | 194 | $79 | $80 | $2 | 3% | — | $77 – $91 |
| 9 | Anthem fee schedule · outpatient · +14 other terms | 176 | $90 | $137 | $134 | 98% | — | $5 – $590 |
| 10 | Oscar fee schedule · outpatient · +12 other terms | 160 | $152 | $169 | $56 | 33% | — | $77 – $241 |
| 11 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 130 | $82 | $80 | $3 | 4% | — | $69 – $85 |
| 12 | Ambetter fee schedule · outpatient · +11 other terms | 99 | $127 | $111 | $47 | 42% | — | $36 – $310 |
| 13 | Caresource fee schedule · outpatient · +8 other terms | 85 | $80 | $107 | $79 | 74% | — | $56 – $394 |
| 14 | Kaiser fee schedule · outpatient · +11 other terms | 81 | $80 | $98 | $52 | 53% | — | $5 – $294 |
| 15 | Aetna Better Health fee schedule · outpatient · +13 other terms | 76 | $71 | $71 | $6 | 8% | — | $44 – $83 |
| 16 | Superior Healthplan fee schedule · outpatient · +4 other terms | 56 | $83 | $156 | $73 | 47% | — | $66 – $272 |
| 17 | Optum fee schedule · outpatient · +14 other terms | 49 | $79 | $139 | $93 | 67% | — | $77 – $427 |
| 18 | Clover fee schedule · outpatient · +5 other terms | 41 | $80 | $80 | $2 | 2% | — | $79 – $83 |
| 19 | First Health fee schedule · outpatient · +12 other terms | 41 | $79 | $104 | $74 | 71% | — | $66 – $336 |
| 20 | MultiPlan fee schedule · outpatient · +13 other terms | 38 | $405 | $391 | $296 | 76% | — | $79 – $887 |
| 21 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $283 | $301 | $146 | 48% | — | $79 – $677 |
| 22 | Amerihealth Caritas fee schedule · outpatient · +7 other terms | 31 | $94 | $83 | $30 | 36% | — | $10 – $118 |
| 23 | Healthcare Highways fee schedule · outpatient · +3 other terms | 29 | $184 | $179 | $27 | 15% | — | $101 – $191 |
| 24 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $110 | $114 | $28 | 25% | — | $75 – $169 |
| 25 | Medica facility · fee schedule · outpatient · +10 other terms | 26 | $79 | $80 | $22 | 28% | — | $27 – $203 |
← Hospitals reporting CPT 86807 · Snapshot 20261113T090226Z-3ce6c0b8