Unscheduled photo patch testing

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR PHOTO TEST(S)

Payers reporting CPT 95056

Payer pricing summary

Low

$29

Average

$168

Median

$136

High

$956

Payer rate distribution

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Filter by billing class

#
1	Aetna fee schedule · outpatient · +22 other terms	378	$137	$247	$699	283%	—	$2 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	310	$207	$270	$181	67%	—	$1 – $937
3	UnitedHealthcare fee schedule · outpatient · +23 other terms	294	$136	$161	$190	117%	—	$2 – $3.8k
4	Humana fee schedule · outpatient · +22 other terms	271	$131	$202	$561	277%	—	$33 – $8.3k
5	Cigna fee schedule · outpatient · +17 other terms	156	$138	$176	$119	68%	—	$8 – $688
6	Molina fee schedule · outpatient · +16 other terms	119	$135	$163	$85	52%	—	$29 – $719
7	WellCare fee schedule · outpatient · +12 other terms	116	$132	$152	$50	33%	—	$52 – $302
8	Anthem fee schedule · outpatient · +15 other terms	94	$197	$167	$202	121%	—	$7 – $974
9	Devoted fee schedule · outpatient · +8 other terms	68	$133	$125	$27	21%	—	$53 – $149
10	Kaiser fee schedule · outpatient · +10 other terms	61	$193	$235	$164	70%	—	$45 – $913
11	Ambetter facility · fee schedule · outpatient · +12 other terms	51	$227	$358	$949	265%	—	$70 – $7.1k
12	Oscar fee schedule · outpatient · +14 other terms	49	$254	$187	$113	61%	—	$1 – $380
13	Optum fee schedule · outpatient · +12 other terms	35	$128	$157	$109	70%	—	$53 – $491
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$382	$362	$164	45%	—	$121 – $733
15	Caresource facility · fee schedule · outpatient · +6 other terms	31	$205	$508	$1.5k	288%	—	$39 – $7.9k
16	Clover fee schedule · outpatient · +8 other terms	26	$141	$138	$8	6%	—	$120 – $152
17	Tricare fee schedule · outpatient · +8 other terms	22	$121	$98	$35	36%	—	$54 – $158
18	Regence professional · fee schedule · outpatient · +8 other terms	21	$48	$52	$15	28%	—	$48 – $126
19	Medicare fee schedule · outpatient · +7 other terms	19	$53	$53	$13	25%	—	$45 – $113
20	Aetna Better Health fee schedule · outpatient · +8 other terms	18	$43	$63	$36	56%	—	$40 – $121
21	First Health fee schedule · outpatient · +10 other terms	16	$139	$173	$81	47%	—	$121 – $435
22	Highmark fee schedule · outpatient · +7 other terms	16	$132	$131	$83	63%	—	$2 – $719
23	Medical Mutual facility · fee schedule · outpatient · +7 other terms	16	$130	$436	$1.2k	285%	—	$69 – $6.0k
24	MultiPlan fee schedule · outpatient · +13 other terms	15	$205	$202	$15	8%	—	$121 – $205
25	Ucare case rate · outpatient · +7 other terms	15	$135	$133	$2	2%	—	$129 – $135

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