CPT 95904
Low
$72
Average
$5.1k
Median
$159
High
$25k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 187.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna other · both | 3 | $346 | $364 | $98 | 27% | — | $156 – $410 |
| 2 | Aetna facility · other · outpatient · +1 other terms | 2 | $67 | $67 | — | — | — | $67 – $67 |
| 3 | Blue Cross Blue Shield other · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 4 | First Health facility · other · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 5 | Molina facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
← Hospitals reporting CPT 95904 · Snapshot 20261113T090226Z-3ce6c0b8