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
Fee Schedule
Low
$22
Average
$1.6k
Median
$219
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 20.0× 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 | Humana fee schedule · outpatient · +9 other terms | 34 | $258 | $686 | $1.5k | 218% | — | $258 – $8.3k |
| 2 | Anthem fee schedule · outpatient · +4 other terms | 20 | $19 | $38 | $69 | 183% | — | $19 – $368 |
| 3 | Wellmark fee schedule · both · +3 other terms | 13 | $43 | $43 | $3 | 7% | — | $41 – $47 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms | 10 | $141 | $199 | $114 | 57% | — | $46 – $348 |
| 5 | Highmark fee schedule · outpatient · +2 other terms | 10 | $22 | $22 | $1 | 3% | — | $20 – $22 |
| 6 | Tricare fee schedule · outpatient · +1 other terms | 10 | $213 | $213 | — | — | — | $213 – $213 |
| 7 | Aetna fee schedule · both · +11 other terms | 9 | $21 | $24 | $17 | 70% | — | $21 – $107 |
| 8 | Cigna fee schedule · both · +10 other terms | 6 | $122 | $105 | $26 | 25% | — | $48 – $122 |
| 9 | First Health fee schedule · both · +1 other terms | 5 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Bcbs Mn fee schedule · outpatient | 4 | $44 | $43 | $29 | 67% | — | $13 – $105 |
| 11 | Molina facility · case rate · outpatient · +8 other terms | 4 | $604 | $639 | $146 | 23% | — | $473 – $875 |
| 12 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 4 | $163 | $163 | $0 | 0% | — | $162 – $163 |
| 13 | Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $106 | $106 | — | — | — | $106 – $106 |
| 14 | Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $282 | $282 | — | — | — | $282 – $282 |
| 15 | Medicaid fee schedule · outpatient | 3 | $163 | $163 | — | — | — | $163 – $163 |
| 16 | Phcs professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $310 | $310 | — | — | — | $310 – $310 |
| 17 | WellCare fee schedule · outpatient | 3 | $165 | $165 | $1 | 0% | — | $165 – $167 |
| 18 | Aetna Better Health fee schedule · inpatient · +1 other terms | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 19 | Amerihealth Caritas facility · case rate · outpatient | 1 | $473 | $473 | — | — | — | $473 – $473 |
| 20 | Bcbs La other · outpatient · +1 other terms | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 21 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | $4 | 11% | — | $27 – $34 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 23 | Kaiser facility · fee schedule · outpatient | 1 | $630 | $630 | — | — | — | $630 – $630 |
| 24 | Medica fee schedule · inpatient · +1 other terms | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 25 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
← Hospitals reporting CPT 96102 · Snapshot 20261112T124536Z-e251e855