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
$11
Average
$45
Median
$32
High
$502
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 2.5× 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 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 632 | $27 | $27 | $15 | 56% | — | $3 – $244 |
| 2 | Aetna fee schedule · outpatient · +21 other terms | 601 | $28 | $83 | $424 | 508% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +20 other terms | 429 | $27 | $50 | $59 | 117% | — | $11 – $293 |
| 4 | Cigna fee schedule · outpatient · +19 other terms | 416 | $48 | $59 | $41 | 69% | — | $5 – $273 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 393 | $30 | $47 | $31 | 66% | — | $1 – $244 |
| 6 | WellCare fee schedule · outpatient · +9 other terms | 257 | $28 | $29 | $5 | 16% | — | $12 – $54 |
| 7 | Molina fee schedule · outpatient · +16 other terms | 227 | $30 | $31 | $14 | 45% | — | $1 – $81 |
| 8 | Devoted fee schedule · outpatient · +8 other terms | 193 | $27 | $27 | $1 | 3% | — | $27 – $31 |
| 9 | Oscar fee schedule · outpatient · +8 other terms | 160 | $52 | $58 | $19 | 33% | — | $27 – $83 |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 148 | $30 | $49 | $50 | 100% | — | $4 – $203 |
| 11 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 125 | $28 | $27 | $2 | 6% | — | $24 – $44 |
| 12 | Ambetter fee schedule · outpatient · +8 other terms | 97 | $44 | $38 | $14 | 35% | — | $10 – $73 |
| 13 | Kaiser fee schedule · outpatient · +6 other terms | 78 | $28 | $35 | $19 | 53% | — | $5 – $101 |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 75 | $25 | $24 | $3 | 11% | — | $11 – $29 |
| 15 | Caresource fee schedule · outpatient · +6 other terms | 54 | $27 | $29 | $7 | 24% | — | $12 – $53 |
| 16 | Superior Healthplan fee schedule · outpatient · +4 other terms | 45 | $28 | $29 | $2 | 8% | — | $23 – $46 |
| 17 | Clover fee schedule · outpatient · +5 other terms | 41 | $28 | $28 | $1 | 2% | — | $27 – $28 |
| 18 | Optum fee schedule · outpatient · +6 other terms | 41 | $27 | $37 | $16 | 43% | — | $27 – $78 |
| 19 | Bcbs Tx fee schedule · outpatient · +1 other terms | 33 | $98 | $104 | $50 | 48% | — | $27 – $233 |
| 20 | First Health fee schedule · outpatient · +10 other terms | 33 | $27 | $27 | $9 | 35% | — | $23 – $54 |
| 21 | Healthcare Highways fee schedule · outpatient · +1 other terms | 29 | $63 | $61 | $9 | 15% | — | $35 – $66 |
| 22 | Amerihealth Caritas fee schedule · outpatient · +5 other terms | 27 | $32 | $29 | $11 | 40% | — | $3 – $41 |
| 23 | Regence facility · fee schedule · outpatient · +3 other terms | 26 | $29 | $33 | $15 | 44% | — | $23 – $81 |
| 24 | Medica facility · fee schedule · outpatient · +8 other terms | 20 | $27 | $27 | $8 | 29% | — | $9 – $70 |
| 25 | Medical Mutual fee schedule · outpatient · +3 other terms | 20 | $29 | $45 | $16 | 36% | — | $21 – $82 |
← Hospitals reporting CPT 87084 · Snapshot 20261111T120946Z-9134e7f7