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 ACOUSTIC REFLX TEST THRESHOLD
Low
$14
Average
$100
Median
$75
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 6.3× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +27 other terms | 378 | $39 | $131 | $683 | 523% | — | $3 – $8.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +34 other terms | 339 | $40 | $83 | $125 | 150% | — | $0 – $1.2k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 329 | $61 | $79 | $52 | 66% | — | $1 – $294 |
| 4 | Humana fee schedule · outpatient · +23 other terms | 300 | $39 | $88 | $518 | 592% | — | $11 – $8.3k |
| 5 | Cigna fee schedule · outpatient · +24 other terms | 161 | $39 | $49 | $33 | 68% | — | $13 – $193 |
| 6 | Molina fee schedule · outpatient · +21 other terms | 134 | $39 | $41 | $25 | 62% | — | $0 – $230 |
| 7 | WellCare fee schedule · outpatient · +17 other terms | 133 | $39 | $42 | $16 | 38% | — | $10 – $92 |
| 8 | Anthem fee schedule · outpatient · +24 other terms | 93 | $52 | $42 | $50 | 121% | — | $11 – $273 |
| 9 | Kaiser fee schedule · outpatient · +17 other terms | 70 | $54 | $75 | $76 | 101% | — | $9 – $364 |
| 10 | Devoted fee schedule · outpatient · +14 other terms | 65 | $39 | $35 | $9 | 25% | — | $14 – $43 |
| 11 | Ambetter fee schedule · outpatient · +16 other terms | 56 | $65 | $62 | $26 | 42% | — | $4 – $122 |
| 12 | Optum fee schedule · outpatient · +19 other terms | 44 | $34 | $39 | $28 | 73% | — | $13 – $138 |
| 13 | Tricare fee schedule · outpatient · +20 other terms | 36 | $35 | $35 | $5 | 13% | — | $29 – $48 |
| 14 | Caresource fee schedule · outpatient · +13 other terms | 35 | $44 | $126 | $70 | 56% | — | $35 – $186 |
| 15 | MultiPlan fee schedule · outpatient · +18 other terms | 33 | $64 | $55 | $25 | 46% | — | $17 – $132 |
| 16 | Oscar fee schedule · outpatient · +17 other terms | 33 | $47 | $43 | $33 | 75% | — | $1 – $107 |
| 17 | Bcbs Tx fee schedule · outpatient · +3 other terms | 32 | $117 | $111 | $50 | 45% | — | $37 – $225 |
| 18 | Clover fee schedule · outpatient · +9 other terms | 32 | $43 | $41 | $3 | 8% | — | $34 – $46 |
| 19 | Medicare fee schedule · outpatient · +14 other terms | 26 | $15 | $22 | $11 | 51% | — | $14 – $42 |
| 20 | Aetna Better Health facility · fee schedule · outpatient · +17 other terms | 21 | $16 | $28 | $48 | 171% | — | $11 – $259 |
| 21 | Highmark fee schedule · outpatient · +14 other terms | 21 | $41 | $40 | $25 | 61% | — | $10 – $230 |
| 22 | Regence fee schedule · outpatient · +13 other terms | 21 | $90 | $97 | $45 | 47% | — | $14 – $233 |
| 23 | Amerihealth Caritas facility · fee schedule · outpatient · +8 other terms | 19 | $11 | $25 | $16 | 63% | — | $11 – $71 |
| 24 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 17 | $39 | $32 | $11 | 35% | — | $14 – $41 |
| 25 | Medicaid fee schedule · outpatient · +10 other terms | 16 | $10 | $10 | $4 | 37% | — | $1 – $13 |
← Hospitals reporting CPT 92568 · Snapshot 20261112T181611Z-3fa9fb76