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
HC Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading
Low
$11
Average
$72
Median
$52
High
$799
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.3× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +26 other terms | 364 | $40 | $134 | $710 | 529% | — | $4 – $8.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 317 | $39 | $63 | $77 | 121% | — | $1 – $1.2k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 303 | $67 | $83 | $55 | 66% | — | $1 – $410 |
| 4 | Humana fee schedule · outpatient · +24 other terms | 279 | $39 | $88 | $541 | 612% | — | $7 – $8.3k |
| 5 | Cigna fee schedule · outpatient · +20 other terms | 156 | $39 | $49 | $36 | 74% | — | $10 – $193 |
| 6 | Molina fee schedule · outpatient · +19 other terms | 121 | $40 | $68 | $101 | 148% | — | $8 – $719 |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 117 | $39 | $54 | $52 | 97% | — | $10 – $278 |
| 8 | Anthem fee schedule · outpatient · +16 other terms | 94 | $53 | $61 | $91 | 150% | — | $9 – $613 |
| 9 | Kaiser fee schedule · outpatient · +14 other terms | 70 | $54 | $66 | $47 | 72% | — | $4 – $267 |
| 10 | Devoted fee schedule · outpatient · +9 other terms | 63 | $39 | $36 | $9 | 25% | — | $12 – $43 |
| 11 | Ambetter fee schedule · outpatient · +12 other terms | 49 | $70 | $65 | $27 | 41% | — | $14 – $122 |
| 12 | Optum fee schedule · outpatient · +14 other terms | 45 | $34 | $38 | $29 | 77% | — | $10 – $138 |
| 13 | Oscar fee schedule · outpatient · +15 other terms | 33 | $47 | $42 | $33 | 79% | — | $1 – $107 |
| 14 | MultiPlan fee schedule · outpatient · +17 other terms | 32 | $64 | $78 | $64 | 82% | — | $12 – $275 |
| 15 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $117 | $111 | $50 | 46% | — | $37 – $225 |
| 16 | Caresource facility · fee schedule · outpatient · +8 other terms | 29 | $57 | $414 | $1.6k | 376% | — | $12 – $7.9k |
| 17 | Clover fee schedule · outpatient · +9 other terms | 26 | $43 | $41 | $4 | 9% | — | $34 – $46 |
| 18 | Regence professional · fee schedule · outpatient · +9 other terms | 26 | $12 | $21 | $10 | 50% | — | $12 – $40 |
| 19 | Tricare fee schedule · outpatient · +12 other terms | 24 | $34 | $33 | $6 | 17% | — | $11 – $44 |
| 20 | Medicare fee schedule · outpatient · +13 other terms | 22 | $12 | $17 | $11 | 63% | — | $11 – $42 |
| 21 | Aetna Better Health fee schedule · outpatient · +13 other terms | 19 | $14 | $18 | $11 | 63% | — | $7 – $37 |
| 22 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 17 | $39 | $31 | $13 | 42% | — | $10 – $41 |
| 23 | Medica fee schedule · outpatient · +7 other terms | 17 | $46 | $86 | $87 | 101% | — | $9 – $270 |
| 24 | Highmark fee schedule · outpatient · +7 other terms | 16 | $39 | $42 | $50 | 119% | — | $8 – $719 |
| 25 | Medical Mutual facility · fee schedule · outpatient · +5 other terms | 15 | $36 | $356 | $1.3k | 371% | — | $19 – $6.0k |
← Hospitals reporting CPT 95028 · Snapshot 20261112T181611Z-3fa9fb76