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
Interrog Device Eval W/Analys Rev & Rpt Sq
Low
$30
Average
$273
Median
$148
High
$3.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
67 payers; the 90th percentile is 9.9× 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 | Ucare professional · fee schedule · outpatient · +13 other terms | 19 | $40 | $44 | $18 | 42% | 1–10 | $22 – $81 |
| 2 | Aetna fee schedule · outpatient · +32 other terms | 365 | $42 | $143 | $653 | 455% | — | $1 – $8.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 325 | $81 | $96 | $65 | 67% | — | $1 – $447 |
| 4 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 325 | $39 | $186 | $521 | 281% | — | $1 – $5.5k |
| 5 | Humana fee schedule · outpatient · +30 other terms | 281 | $40 | $77 | $62 | 81% | — | $1 – $276 |
| 6 | Cigna fee schedule · outpatient · +30 other terms | 158 | $41 | $71 | $52 | 74% | — | $29 – $268 |
| 7 | WellCare fee schedule · outpatient · +19 other terms | 115 | $38 | $44 | $14 | 33% | — | $19 – $87 |
| 8 | Molina fee schedule · outpatient · +28 other terms | 114 | $43 | $55 | $44 | 79% | — | $1 – $386 |
| 9 | Anthem fee schedule · outpatient · +27 other terms | 98 | $56 | $104 | $191 | 183% | — | $30 – $2.6k |
| 10 | Kaiser fee schedule · outpatient · +22 other terms | 71 | $53 | $71 | $44 | 62% | — | $29 – $275 |
| 11 | Devoted fee schedule · outpatient · +14 other terms | 59 | $37 | $38 | $4 | 11% | — | $34 – $68 |
| 12 | Ambetter facility · fee schedule · outpatient · +17 other terms | 58 | $67 | $190 | $907 | 479% | — | $37 – $7.0k |
| 13 | Optum fee schedule · outpatient · +21 other terms | 46 | $36 | $83 | $77 | 93% | — | $34 – $316 |
| 14 | Oscar facility · fee schedule · outpatient · +22 other terms | 43 | $57 | $210 | $768 | 365% | — | $43 – $4.0k |
| 15 | MultiPlan fee schedule · outpatient · +19 other terms | 35 | $65 | $106 | $93 | 88% | — | $35 – $492 |
| 16 | Tricare fee schedule · outpatient · +19 other terms | 34 | $34 | $37 | $6 | 16% | — | $32 – $64 |
| 17 | Clover fee schedule · outpatient · +11 other terms | 31 | $41 | $40 | $3 | 6% | — | $34 – $44 |
| 18 | Regence professional · fee schedule · outpatient · +19 other terms | 31 | $34 | $77 | $50 | 65% | — | $33 – $220 |
| 19 | Highmark facility · fee schedule · outpatient · +17 other terms | 30 | $43 | $56 | $36 | 63% | — | $16 – $125 |
| 20 | Medicare fee schedule · outpatient · +16 other terms | 29 | $34 | $34 | $3 | 9% | — | $29 – $42 |
| 21 | Caresource fee schedule · outpatient · +18 other terms | 26 | $92 | $1.1k | $894 | 83% | — | $1 – $1.9k |
| 22 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $47 | $47 | $9 | 20% | — | $36 – $62 |
| 23 | Aetna Better Health fee schedule · outpatient · +15 other terms | 23 | $35 | $42 | $24 | 57% | — | $13 – $75 |
| 24 | Bcbs Tx fee schedule · outpatient · +2 other terms | 21 | $133 | $119 | $59 | 50% | — | $35 – $244 |
| 25 | Medica professional · fee schedule · outpatient · +22 other terms | 21 | $55 | $51 | $17 | 34% | — | $27 – $76 |
← Hospitals reporting CPT 93261 · Snapshot 20261112T181611Z-3fa9fb76