CPT 91317
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
$20
Median
$5
High
$316
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 28 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Molina facility · case rate · outpatient · +3 other terms | 28 | $13 | $16 | $8 | 49% | — | $0 – $36 |
| 3 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 24 | $0 | $3 | $10 | 307% | — | $0 – $35 |
| 4 | Anthem fee schedule · outpatient · +7 other terms | 22 | $0 | $1 | $6 | 584% | — | $0 – $35 |
| 5 | Humana fee schedule · outpatient · +3 other terms | 17 | $0 | $7 | $14 | 206% | — | $0 – $36 |
| 6 | MultiPlan fee schedule · inpatient · +5 other terms | 17 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Medica fee schedule · outpatient · +3 other terms | 16 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Caresource facility · case rate · outpatient | 15 | $9 | $10 | $2 | 23% | — | $6 – $16 |
| 9 | Optum facility · case rate · outpatient · +1 other terms | 13 | $9 | $11 | $4 | 34% | — | $8 – $18 |
| 10 | Phcs fee schedule · inpatient · +1 other terms | 9 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting CPT 91317 · Snapshot 20261113T090226Z-3ce6c0b8