Unlisted therapeutic procedure

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

Other therapeutic procedure

Payers reporting CPT 97139

Payer pricing summary

Low

Average

$160

Median

$67

High

$3.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Sanford Health Plan facility · other · inpatient · +7 other terms	2	$38	$38	—	—	2–20	$38 – $38
2	Ucare facility · other · inpatient · +3 other terms	2	$10	$10	—	—	2–20	$10 – $10
3	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	145	$47	$66	$86	131%	—	$0 – $990
4	Aetna fee schedule · outpatient · +25 other terms	109	$73	$185	$803	434%	—	$1 – $8.4k
5	UnitedHealthcare fee schedule · outpatient · +26 other terms	99	$159	$211	$164	78%	—	$1 – $623
6	Cigna fee schedule · outpatient · +25 other terms	69	$253	$175	$122	69%	—	$15 – $521
7	Molina facility · case rate · outpatient · +16 other terms	38	$23	$25	$7	27%	—	$19 – $48
8	Anthem fee schedule · outpatient · +21 other terms	37	$6	$8	$9	119%	—	$5 – $61
9	Bcbs Tx fee schedule · outpatient · +4 other terms	31	$60	$55	$20	37%	—	$18 – $102
10	Humana fee schedule · outpatient · +21 other terms	27	$19	$397	$1.5k	374%	—	$1 – $8.3k
11	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$60	$46	$16	34%	—	$11 – $65
12	Ambetter other · outpatient · +10 other terms	18	$161	$133	$31	23%	—	$78 – $161
13	MultiPlan fee schedule · inpatient · +16 other terms	18	$124	$128	$30	24%	—	$50 – $204
14	Medica fee schedule · outpatient · +16 other terms	17	$39	$41	$16	38%	—	$23 – $118
15	WellCare facility · other · outpatient · +7 other terms	17	$224	$180	$38	21%	—	$114 – $224
16	Caresource facility · case rate · outpatient · +9 other terms	15	$29	$31	$7	23%	—	$19 – $49
17	Medicaid fee schedule · outpatient · +9 other terms	15	$27	$90	$119	133%	—	$1 – $396
18	Regence fee schedule · outpatient · +9 other terms	14	$22	$27	$18	68%	—	$16 – $122
19	Highmark fee schedule · outpatient · +10 other terms	13	$16	$17	$6	35%	—	$14 – $72
20	Kaiser fee schedule · outpatient · +11 other terms	13	$82	$74	$56	76%	—	$11 – $224
21	Optum facility · case rate · outpatient · +8 other terms	13	$25	$27	$7	26%	—	$18 – $43
22	Bcbs Mn fee schedule · outpatient · +8 other terms	12	$69	$56	$29	52%	—	$23 – $86
23	Bcbs Nj other · outpatient · +1 other terms	12	$66	$66	—	—	—	$66 – $66
24	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$30	$30	—	—	—	$30 – $30
25	Healthpartners case rate · outpatient · +6 other terms	11	$316	$316	$35	11%	—	$282 – $360

Page 1 of 3 · 53 payers