Psychological testing evaluation by a clinician

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 PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR

Payers reporting CPT 96130

Payer pricing summary

Low

$118

Average

$292

Median

$275

High

$639

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +30 other terms	389	$255	$392	$694	177%	—	$1 – $8.4k
2	UnitedHealthcare fee schedule · outpatient · +37 other terms	319	$272	$337	$499	148%	—	$1 – $9.2k
3	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	305	$386	$741	$1.4k	183%	—	$0 – $18.0k
4	Humana fee schedule · outpatient · +25 other terms	244	$290	$274	$108	39%	—	$1 – $876
5	Cigna fee schedule · outpatient · +28 other terms	156	$241	$320	$231	72%	—	$1 – $1.4k
6	Molina fee schedule · outpatient · +25 other terms	124	$312	$300	$161	54%	—	$1 – $1.2k
7	WellCare fee schedule · outpatient · +17 other terms	119	$292	$303	$138	46%	—	$43 – $730
8	Anthem fee schedule · outpatient · +32 other terms	97	$372	$385	$336	87%	—	$4 – $1.9k
9	Ambetter facility · fee schedule · outpatient · +16 other terms	80	$397	$536	$677	126%	—	$98 – $7.1k
10	Devoted fee schedule · outpatient · +13 other terms	67	$241	$247	$72	29%	—	$105 – $345
11	Kaiser fee schedule · outpatient · +20 other terms	67	$313	$391	$324	83%	—	$100 – $2.2k
12	Oscar fee schedule · outpatient · +20 other terms	49	$398	$307	$176	57%	—	$1 – $617
13	Optum fee schedule · outpatient · +20 other terms	36	$209	$262	$171	65%	—	$99 – $797
14	Caresource fee schedule · outpatient · +17 other terms	29	$159	$188	$61	32%	—	$1 – $369
15	Bcbs Tx fee schedule · outpatient · +4 other terms	28	$496	$475	$192	40%	—	$162 – $930
16	Clover facility · fee schedule · outpatient · +10 other terms	27	$230	$242	$40	16%	—	$202 – $367
17	Regence professional · fee schedule · outpatient · +11 other terms	27	$112	$186	$90	48%	—	$97 – $373
18	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$274	$273	$55	20%	—	$206 – $358
19	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	24	$228	$209	$40	19%	—	$104 – $228
20	MultiPlan fee schedule · outpatient · +17 other terms	23	$503	$441	$146	33%	—	$1 – $537
21	Medica facility · fee schedule · outpatient · +17 other terms	21	$234	$238	$78	33%	—	$65 – $334
22	Medicare fee schedule · outpatient · +14 other terms	21	$105	$128	$52	41%	—	$100 – $273
23	Aetna Better Health fee schedule · outpatient · +20 other terms	19	$110	$153	$80	53%	—	$84 – $292
24	Highmark fee schedule · outpatient · +15 other terms	19	$291	$288	$177	62%	—	$66 – $760
25	First Health fee schedule · outpatient · +15 other terms	17	$225	$262	$84	32%	—	$121 – $440

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