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
PR ANTR SGMT IMG W SPEC MICRO
Low
$35
Average
$168
Median
$137
High
$501
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.7× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +26 other terms | 399 | $136 | $252 | $596 | 236% | — | $1 – $8.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 338 | $228 | $279 | $231 | 83% | — | $1 – $2.2k |
| 3 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 303 | $129 | $140 | $185 | 132% | — | $1 – $3.8k |
| 4 | Humana fee schedule · outpatient · +23 other terms | 290 | $129 | $157 | $512 | 326% | — | $1 – $8.3k |
| 5 | Cigna fee schedule · outpatient · +21 other terms | 167 | $137 | $241 | $126 | 52% | — | $15 – $688 |
| 6 | Molina fee schedule · outpatient · +21 other terms | 134 | $135 | $130 | $86 | 66% | — | $1 – $360 |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 128 | $130 | $141 | $56 | 39% | — | $8 – $302 |
| 8 | Anthem fee schedule · outpatient · +18 other terms | 93 | $125 | $90 | $122 | 135% | — | $17 – $974 |
| 9 | Devoted fee schedule · outpatient · +9 other terms | 68 | $133 | $121 | $37 | 31% | — | $18 – $149 |
| 10 | Kaiser fee schedule · outpatient · +13 other terms | 62 | $193 | $210 | $169 | 81% | — | $15 – $913 |
| 11 | Ambetter fee schedule · outpatient · +11 other terms | 60 | $233 | $218 | $91 | 42% | — | $22 – $434 |
| 12 | Oscar fee schedule · outpatient · +14 other terms | 49 | $254 | $174 | $124 | 71% | — | $1 – $380 |
| 13 | Optum fee schedule · outpatient · +15 other terms | 46 | $121 | $129 | $111 | 86% | — | $18 – $491 |
| 14 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $382 | $362 | $164 | 45% | — | $121 – $733 |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 28 | $184 | $172 | $47 | 27% | — | $1 – $227 |
| 16 | Clover fee schedule · outpatient · +8 other terms | 26 | $141 | $138 | $8 | 6% | — | $120 – $152 |
| 17 | Tricare fee schedule · outpatient · +12 other terms | 23 | $121 | $108 | $24 | 22% | — | $36 – $158 |
| 18 | Medicare fee schedule · outpatient · +13 other terms | 21 | $18 | $38 | $46 | 120% | — | $15 – $148 |
| 19 | Regence professional · fee schedule · outpatient · +8 other terms | 21 | $19 | $22 | $12 | 53% | — | $17 – $96 |
| 20 | MultiPlan fee schedule · outpatient · +17 other terms | 20 | $205 | $196 | $20 | 10% | — | $121 – $205 |
| 21 | Aetna Better Health facility · fee schedule · outpatient · +14 other terms | 18 | $40 | $45 | $26 | 57% | — | $16 – $134 |
| 22 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 17 | $129 | $101 | $43 | 43% | — | $34 – $135 |
| 23 | Highmark fee schedule · outpatient · +7 other terms | 17 | $61 | $62 | $63 | 103% | — | $5 – $390 |
| 24 | First Health fee schedule · outpatient · +12 other terms | 15 | $139 | $155 | $46 | 29% | — | $121 – $271 |
| 25 | Ucare case rate · outpatient · +9 other terms | 15 | $135 | $133 | $2 | 2% | — | $129 – $135 |
← Hospitals reporting CPT 92286 · Snapshot 20261112T181611Z-3fa9fb76