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
BM-CLOS DIFF TOXIN AMP PB
Low
$21
Average
$288
Median
$110
High
$4.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 8.1× 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 | 243 | $48 | $71 | $80 | 113% | 169–376 | $7 – $779 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +34 other terms | 582 | $57 | $116 | $148 | 128% | 133–349 | $1 – $1.3k |
| 3 | UnitedHealthcare fee schedule · outpatient · +36 other terms | 869 | $38 | $50 | $62 | 123% | 107–656 | $1 – $1.3k |
| 4 | Aetna fee schedule · outpatient · +33 other terms | 783 | $48 | $139 | $348 | 249% | 60–456 | $0 – $8.4k |
| 5 | Humana fee schedule · outpatient · +29 other terms | 576 | $38 | $84 | $126 | 151% | 57–264 | $1 – $1.6k |
| 6 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $86 | $86 | — | — | 31 | $86 – $86 |
| 7 | Bcbs Al facility · other · outpatient · +4 other terms | 4 | $39 | $40 | $4 | 10% | 29–47 | $36 – $47 |
| 8 | Cigna fee schedule · outpatient · +26 other terms | 538 | $73 | $88 | $84 | 96% | 27–270 | $5 – $1.2k |
| 9 | First Health fee schedule · outpatient · +16 other terms | 75 | $75 | $93 | $102 | 110% | 10–100 | $21 – $649 |
| 10 | Molina fee schedule · outpatient · +30 other terms | 318 | $41 | $44 | $21 | 47% | 4–40 | $1 – $280 |
| 11 | Optum fee schedule · outpatient · +20 other terms | 80 | $37 | $47 | $22 | 46% | 3–30 | $23 – $112 |
| 12 | Healthpartners fee schedule · outpatient · +12 other terms | 28 | $113 | $103 | $22 | 22% | 3–30 | $38 – $127 |
| 13 | Kaiser fee schedule · outpatient · +19 other terms | 131 | $38 | $55 | $51 | 94% | 2–20 | $5 – $351 |
| 14 | Aetna Better Health fee schedule · outpatient · +18 other terms | 121 | $36 | $40 | $31 | 77% | 2–20 | $19 – $400 |
| 15 | Caresource fee schedule · outpatient · +17 other terms | 105 | $39 | $68 | $92 | 136% | 2–20 | $1 – $769 |
| 16 | Medical Mutual fee schedule · outpatient · +15 other terms | 26 | $48 | $68 | $36 | 53% | 2–20 | $34 – $190 |
| 17 | Sanford Health Plan fee schedule · outpatient · +13 other terms | 23 | $103 | $94 | $87 | 92% | 2–20 | $37 – $374 |
| 18 | Bcbs Ar fee schedule · both | 1 | $42 | $42 | — | — | 2–20 | $42 – $42 |
| 19 | WellCare fee schedule · outpatient · +23 other terms | 328 | $38 | $49 | $49 | 99% | 1–10 | $31 – $446 |
| 20 | Devoted fee schedule · outpatient · +15 other terms | 198 | $37 | $38 | $1 | 3% | — | $37 – $42 |
| 21 | Oscar fee schedule · outpatient · +17 other terms | 166 | $72 | $79 | $27 | 34% | — | $37 – $114 |
| 22 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 147 | $38 | $38 | $4 | 11% | — | $22 – $64 |
| 23 | Ambetter facility · fee schedule · outpatient · +21 other terms | 132 | $66 | $68 | $16 | 23% | — | $37 – $95 |
| 24 | Tricare facility · fee schedule · outpatient · +17 other terms | 125 | $37 | $40 | $31 | 78% | — | $6 – $422 |
| 25 | MultiPlan fee schedule · outpatient · +19 other terms | 115 | $194 | $233 | $247 | 106% | — | $26 – $1.7k |
← Hospitals reporting CPT 87493 · Snapshot 20261111T120946Z-9134e7f7