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
$12
Average
$249
Median
$225
High
$934
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 8.6× 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 | Medicare other · both · +16 other terms | 45 | $379 | $455 | $139 | 30% | 578–722 | $17 – $1.3k |
| 2 | Molina fee schedule · outpatient · +30 other terms | 289 | $85 | $112 | $185 | 165% | 367–376 | $1 – $971 |
| 3 | Caresource fee schedule · outpatient · +17 other terms | 94 | $178 | $143 | $198 | 139% | 275–446 | $1 – $778 |
| 4 | UnitedHealthcare fee schedule · outpatient · +34 other terms | 857 | $19 | $107 | $293 | 274% | 175–256 | $1 – $10.6k |
| 5 | Anthem fee schedule · outpatient · +30 other terms | 243 | $28 | $84 | $255 | 305% | 54–405 | $1 – $2.6k |
| 6 | Aetna fee schedule · outpatient · +31 other terms | 787 | $136 | $201 | $340 | 169% | 38–56 | $0 – $8.4k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +34 other terms | 580 | $196 | $256 | $345 | 135% | 21–111 | $1 – $2.6k |
| 8 | Cigna fee schedule · outpatient · +29 other terms | 538 | $22 | $90 | $181 | 200% | 11–110 | $1 – $2.1k |
| 9 | Kaiser fee schedule · outpatient · +21 other terms | 124 | $96 | $208 | $297 | 143% | 10–100 | $3 – $1.6k |
| 10 | Humana fee schedule · outpatient · +28 other terms | 554 | $43 | $170 | $186 | 109% | 4–40 | $1 – $1.0k |
| 11 | First Health fee schedule · outpatient · +17 other terms | 71 | $105 | $149 | $207 | 139% | 2–20 | $5 – $1.0k |
| 12 | Bcbs Al facility · other · outpatient · +4 other terms | 4 | $6 | $6 | $1 | 10% | 2–20 | $6 – $7 |
| 13 | Ambetter fee schedule · outpatient · +19 other terms | 117 | $465 | $308 | $315 | 102% | 1–10 | $2 – $865 |
| 14 | Medica fee schedule · outpatient · +21 other terms | 42 | $59 | $76 | $116 | 153% | 1–10 | $4 – $420 |
| 15 | WellCare fee schedule · outpatient · +21 other terms | 335 | $7 | $158 | $183 | 116% | — | $4 – $843 |
| 16 | Devoted fee schedule · outpatient · +15 other terms | 194 | $6 | $108 | $162 | 150% | — | $6 – $406 |
| 17 | Oscar fee schedule · outpatient · +17 other terms | 164 | $17 | $118 | $252 | 214% | — | $6 – $1.0k |
| 18 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 139 | $7 | $65 | $126 | 196% | — | $5 – $382 |
| 19 | MultiPlan fee schedule · outpatient · +21 other terms | 126 | $223 | $302 | $250 | 83% | — | $9 – $1.2k |
| 20 | Aetna Better Health fee schedule · outpatient · +18 other terms | 120 | $6 | $45 | $145 | 322% | — | $3 – $1.3k |
| 21 | Tricare facility · fee schedule · outpatient · +18 other terms | 79 | $356 | $453 | $839 | 185% | — | $6 – $8.8k |
| 22 | Optum fee schedule · outpatient · +22 other terms | 73 | $329 | $281 | $279 | 100% | — | $3 – $1.3k |
| 23 | Highmark facility · fee schedule · outpatient · +18 other terms | 71 | $11 | $34 | $98 | 293% | — | $3 – $752 |
| 24 | Medicaid facility · fee schedule · outpatient · +15 other terms | 66 | $6 | $55 | $119 | 216% | — | $3 – $429 |
| 25 | Superior Healthplan fee schedule · outpatient · +7 other terms | 59 | $7 | $38 | $71 | 186% | — | $4 – $590 |
← Hospitals reporting CPT 86902 · Snapshot 20261111T120946Z-9134e7f7