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
Sq CRM Device Interrogate Eval
Low
$25
Average
$156
Median
$100
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
67 payers; the 90th percentile is 9.7× 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 | Wellmark case rate · outpatient · +16 other terms | 13 | $23 | $46 | $45 | 98% | 53–62 | $23 – $167 |
| 2 | Humana fee schedule · outpatient · +28 other terms | 304 | $30 | $97 | $509 | 525% | 3–30 | $1 – $8.3k |
| 3 | Anthem fee schedule · outpatient · +29 other terms | 104 | $41 | $88 | $195 | 222% | 2–20 | $19 – $2.6k |
| 4 | Ucare professional · fee schedule · outpatient · +16 other terms | 19 | $29 | $30 | $16 | 53% | 2–20 | $11 – $85 |
| 5 | UnitedHealthcare fee schedule · outpatient · +36 other terms | 357 | $31 | $503 | $2.2k | 431% | 1–10 | $1 – $27.9k |
| 6 | Kaiser fee schedule · outpatient · +22 other terms | 84 | $42 | $64 | $59 | 93% | 1–10 | $18 – $345 |
| 7 | Aetna fee schedule · outpatient · +34 other terms | 408 | $31 | $114 | $601 | 528% | — | $1 – $8.4k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 354 | $54 | $69 | $50 | 72% | — | $1 – $303 |
| 9 | Cigna fee schedule · outpatient · +31 other terms | 177 | $31 | $80 | $158 | 197% | — | $18 – $881 |
| 10 | WellCare fee schedule · outpatient · +20 other terms | 134 | $28 | $31 | $9 | 30% | — | $13 – $57 |
| 11 | Molina fee schedule · outpatient · +28 other terms | 131 | $32 | $42 | $42 | 99% | — | $1 – $386 |
| 12 | Ambetter facility · fee schedule · outpatient · +17 other terms | 70 | $52 | $153 | $829 | 543% | — | $24 – $7.0k |
| 13 | Devoted fee schedule · outpatient · +15 other terms | 67 | $28 | $28 | $3 | 11% | — | $24 – $46 |
| 14 | Optum fee schedule · outpatient · +22 other terms | 59 | $31 | $153 | $266 | 173% | — | $19 – $1.0k |
| 15 | MultiPlan fee schedule · outpatient · +18 other terms | 47 | $63 | $166 | $264 | 159% | — | $23 – $944 |
| 16 | Highmark facility · fee schedule · outpatient · +18 other terms | 45 | $41 | $57 | $48 | 83% | — | $13 – $208 |
| 17 | Oscar facility · fee schedule · outpatient · +22 other terms | 38 | $42 | $243 | $873 | 359% | — | $28 – $4.0k |
| 18 | Tricare fee schedule · outpatient · +19 other terms | 34 | $29 | $29 | $4 | 12% | — | $17 – $44 |
| 19 | Caresource facility · fee schedule · outpatient · +21 other terms | 33 | $45 | $298 | $1.3k | 448% | — | $13 – $7.9k |
| 20 | Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms | 32 | $37 | $36 | $18 | 50% | — | $12 – $114 |
| 21 | Clover fee schedule · outpatient · +11 other terms | 32 | $27 | $28 | $2 | 8% | — | $24 – $34 |
| 22 | First Health fee schedule · outpatient · +16 other terms | 29 | $76 | $219 | $287 | 131% | — | $3 – $818 |
| 23 | Medicare fee schedule · outpatient · +17 other terms | 29 | $29 | $29 | $2 | 6% | — | $24 – $32 |
| 24 | Regence professional · fee schedule · outpatient · +18 other terms | 26 | $24 | $32 | $20 | 62% | — | $16 – $124 |
| 25 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $37 | $37 | $7 | 20% | — | $28 – $48 |
← Hospitals reporting CPT 93291 · Snapshot 20261111T120946Z-9134e7f7