Audio-only follow-up visit for an established patient

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 Visit Synchronous Audio-Only Established Straightforward

Payers reporting CPT 98012

Payer pricing summary

Low

$10

Average

$11.7k

Median

$79

High

$203.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	99	$37	$61	$45	74%	—	$6 – $189
2	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	96	$101	$108	$48	44%	—	$0 – $223
3	Aetna fee schedule · outpatient · +23 other terms	69	$36	$397	$1.4k	353%	—	$22 – $8.4k
4	Humana fee schedule · outpatient · +22 other terms	67	$36	$45	$19	42%	—	$34 – $108
5	Cigna fee schedule · outpatient · +20 other terms	45	$38	$45	$12	27%	—	$33 – $107
6	Anthem fee schedule · outpatient · +20 other terms	39	$36	$35	$5	14%	—	$6 – $38
7	Kaiser fee schedule · outpatient · +13 other terms	26	$37	$37	$1	4%	—	$31 – $38
8	Molina facility · case rate · outpatient · +18 other terms	25	$60	$57	$21	37%	—	$19 – $106
9	Devoted fee schedule · outpatient · +9 other terms	22	$36	$37	$1	3%	—	$35 – $38
10	Optum professional · fee schedule · outpatient · +9 other terms	21	$37	$33	$6	17%	—	$23 – $39
11	Caresource facility · case rate · outpatient · +9 other terms	20	$65	$65	$17	26%	—	$34 – $108
12	Medicare fee schedule · outpatient · +5 other terms	19	$38	$38	$1	4%	—	$31 – $38
13	Bcbs Tx fee schedule · outpatient · +1 other terms	17	$100	$104	$40	38%	—	$38 – $179
14	Medica professional · fee schedule · outpatient · +15 other terms	16	$39	$39	$9	22%	—	$25 – $66
15	Tricare professional · fee schedule · outpatient · +9 other terms	15	$31	$31	$3	11%	—	$24 – $38
16	Ucare professional · fee schedule · outpatient · +13 other terms	14	$39	$37	$4	11%	—	$27 – $41
17	WellCare case rate · outpatient · +14 other terms	14	$37	$38	$2	6%	—	$34 – $41
18	Highmark professional · fee schedule · outpatient · +11 other terms	13	$44	$44	$11	26%	—	$24 – $65
19	Wellmark fee schedule · both · +7 other terms	13	$45	$44	$3	6%	—	$31 – $45
20	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$36	$36	—	—	—	$36 – $36
21	First Health professional · fee schedule · both · +14 other terms	11	$27	$25	$21	83%	—	$0 – $86
22	Medical Mutual facility · fee schedule · outpatient · +6 other terms	10	$36	$45	$10	21%	—	$36 – $58
23	Ambetter facility · fee schedule · outpatient · +12 other terms	9	$66	$62	$10	15%	—	$35 – $66
24	Aetna Better Health professional · fee schedule · both · +7 other terms	8	$0	$2	$7	345%	—	$0 – $26
25	Bcbs Il professional · fee schedule · both · +3 other terms	8	$8	$13	$21	154%	—	$0 – $69

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