CPT 91315
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
Fee Schedule
Low
$0
Average
$29
Median
$0
High
$404
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 36 | $0 | $0 | $2 | 638% | — | $0 – $13 |
| 2 | Anthem fee schedule · outpatient · +2 other terms | 22 | $0 | $1 | $6 | 584% | — | $0 – $35 |
| 3 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 21 | $0 | $4 | $11 | 273% | — | $0 – $35 |
| 4 | Humana fee schedule · outpatient · +1 other terms | 15 | $0 | $8 | $15 | 193% | — | $0 – $36 |
| 5 | MultiPlan fee schedule · inpatient · +2 other terms | 14 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Medica fee schedule · outpatient · +3 other terms | 13 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Aetna fee schedule · outpatient · +4 other terms | 6 | $34 | $23 | $16 | 71% | — | $0 – $35 |
| 8 | Phcs fee schedule · inpatient · +1 other terms | 6 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Cigna fee schedule · both · +3 other terms | 4 | $4 | $3 | $4 | 119% | — | $0 – $8 |
| 10 | Molina facility · fee schedule · outpatient | 3 | $13 | $9 | $6 | 71% | — | $0 – $13 |
← Hospitals reporting CPT 91315 · Snapshot 20261113T090226Z-3ce6c0b8