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
$40
Average
$215
Median
$161
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 4.6× 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 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 595 | $77 | $88 | $57 | 65% | — | $0 – $691 |
| 2 | Aetna fee schedule · outpatient · +24 other terms | 558 | $79 | $195 | $516 | 264% | — | $0 – $8.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 419 | $99 | $146 | $104 | 71% | — | $0 – $692 |
| 4 | Humana fee schedule · outpatient · +20 other terms | 375 | $78 | $93 | $75 | 81% | — | $1 – $630 |
| 5 | WellCare fee schedule · outpatient · +15 other terms | 272 | $79 | $83 | $19 | 23% | — | $43 – $288 |
| 6 | Molina fee schedule · outpatient · +21 other terms | 218 | $85 | $92 | $41 | 44% | — | $1 – $230 |
| 7 | Cigna fee schedule · outpatient · +20 other terms | 191 | $83 | $128 | $97 | 76% | — | $8 – $446 |
| 8 | Devoted fee schedule · outpatient · +12 other terms | 185 | $77 | $77 | $2 | 3% | — | $75 – $89 |
| 9 | Oscar fee schedule · outpatient · +16 other terms | 159 | $149 | $166 | $55 | 33% | — | $75 – $235 |
| 10 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 126 | $80 | $78 | $4 | 5% | — | $46 – $83 |
| 11 | Anthem fee schedule · outpatient · +19 other terms | 119 | $101 | $204 | $154 | 76% | — | $21 – $576 |
| 12 | Kaiser fee schedule · outpatient · +18 other terms | 112 | $78 | $97 | $49 | 50% | — | $26 – $294 |
| 13 | Ambetter facility · fee schedule · outpatient · +15 other terms | 102 | $138 | $143 | $30 | 21% | — | $77 – $196 |
| 14 | Caresource fee schedule · outpatient · +14 other terms | 66 | $79 | $110 | $67 | 61% | — | $1 – $293 |
| 15 | Highmark facility · fee schedule · outpatient · +13 other terms | 63 | $93 | $104 | $57 | 55% | — | $27 – $349 |
| 16 | MultiPlan fee schedule · outpatient · +13 other terms | 55 | $123 | $251 | $207 | 83% | — | $72 – $660 |
| 17 | First Health fee schedule · outpatient · +13 other terms | 54 | $85 | $89 | $53 | 59% | — | $64 – $392 |
| 18 | Clover fee schedule · outpatient · +8 other terms | 46 | $79 | $79 | $2 | 2% | — | $77 – $81 |
| 19 | Medicare fee schedule · both · +10 other terms | 45 | $77 | $77 | $3 | 4% | — | $77 – $104 |
| 20 | Optum fee schedule · outpatient · +16 other terms | 45 | $77 | $107 | $49 | 45% | — | $75 – $258 |
| 21 | Tricare facility · fee schedule · outpatient · +13 other terms | 45 | $77 | $74 | $8 | 11% | — | $37 – $95 |
| 22 | Superior Healthplan fee schedule · outpatient · +4 other terms | 42 | $81 | $81 | $3 | 4% | — | $77 – $123 |
| 23 | Medica facility · fee schedule · outpatient · +13 other terms | 38 | $77 | $82 | $42 | 51% | — | $26 – $335 |
| 24 | Aetna Better Health fee schedule · outpatient · +15 other terms | 35 | $70 | $71 | $10 | 14% | — | $30 – $81 |
| 25 | Wellmark facility · fee schedule · both · +8 other terms | 31 | $88 | $129 | $68 | 53% | — | $66 – $352 |
← Hospitals reporting CPT 87564 · Snapshot 20261112T181611Z-3fa9fb76