CPT 90876
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
90876
Low
$0
Average
$273
Median
$184
High
$2.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 3.3× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +15 other terms | 137 | $107 | $263 | $833 | 317% | — | $16 – $8.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 95 | $102 | $145 | $195 | 134% | — | $11 – $1.6k |
| 3 | Aetna fee schedule · outpatient · +20 other terms | 82 | $102 | $577 | $1.5k | 261% | — | $61 – $8.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 62 | $189 | $225 | $163 | 73% | — | $0 – $677 |
| 5 | Anthem fee schedule · outpatient · +18 other terms | 61 | $99 | $98 | $6 | 6% | — | $96 – $132 |
| 6 | Molina facility · case rate · outpatient · +14 other terms | 39 | $105 | $112 | $36 | 32% | — | $54 – $212 |
| 7 | Cigna fee schedule · outpatient · +18 other terms | 37 | $107 | $132 | $60 | 45% | — | $5 – $304 |
| 8 | Kaiser fee schedule · outpatient · +9 other terms | 26 | $107 | $118 | $59 | 51% | — | $5 – $225 |
| 9 | Devoted fee schedule · outpatient · +6 other terms | 21 | $102 | $104 | $2 | 2% | — | $100 – $107 |
| 10 | Caresource facility · case rate · outpatient · +5 other terms | 20 | $119 | $132 | $39 | 29% | — | $75 – $206 |
| 11 | Medicare fee schedule · outpatient · +1 other terms | 18 | $107 | $107 | — | — | — | $107 – $107 |
| 12 | Optum facility · case rate · outpatient · +10 other terms | 14 | $102 | $107 | $26 | 24% | — | $72 – $170 |
| 13 | WellCare case rate · outpatient · +6 other terms | 14 | $105 | $107 | $7 | 6% | — | $96 – $117 |
| 14 | Aetna Better Health professional · fee schedule · both · +7 other terms | 13 | $48 | $49 | $22 | 46% | — | $0 – $78 |
| 15 | Highmark fee schedule · outpatient · +6 other terms | 13 | $110 | $110 | $5 | 4% | — | $63 – $115 |
| 16 | Regence fee schedule · outpatient · +4 other terms | 13 | $119 | $129 | $34 | 26% | — | $93 – $305 |
| 17 | Wellmark fee schedule · both · +6 other terms | 13 | $131 | $132 | $4 | 3% | — | $131 – $154 |
| 18 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $100 | $134 | $73 | 54% | — | $50 – $375 |
| 19 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 12 | $101 | $101 | — | — | — | $101 – $101 |
| 20 | Medica fee schedule · outpatient · +6 other terms | 12 | $313 | $310 | $87 | 28% | — | $143 – $414 |
| 21 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 10 | $103 | $127 | $27 | 21% | — | $103 – $163 |
| 22 | Ucare fee schedule · both · +6 other terms | 10 | $93 | $92 | $10 | 11% | — | $79 – $102 |
| 23 | Ambetter facility · fee schedule · outpatient · +8 other terms | 9 | $186 | $176 | $27 | 15% | — | $101 – $186 |
| 24 | Bcbs Il professional · fee schedule · both · +1 other terms | 9 | $46 | $60 | $64 | 107% | — | $0 – $229 |
| 25 | First Health professional · fee schedule · both · +9 other terms | 8 | $151 | $128 | $22 | 17% | — | $104 – $151 |
← Hospitals reporting CPT 90876 · Snapshot 20261113T090226Z-3ce6c0b8