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
Screening Test Visual Acuity Quantitative Bilat
Low
$3
Average
$5.7k
Median
$25
High
$94.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 5467.4× 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 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 163 | $9 | $14 | $52 | 360% | 2,705 | $0 – $829 |
| 2 | Ucare professional · fee schedule · outpatient · +7 other terms | 13 | $3 | $3 | $0 | 5% | 1–10 | $3 – $4 |
| 3 | Premera professional · fee schedule · outpatient · +7 other terms | 6 | $5 | $5 | $1 | 16% | 1–10 | $4 – $7 |
| 4 | Humana fee schedule · outpatient · +24 other terms | 213 | $3 | $76 | $669 | 879% | — | $1 – $8.3k |
| 5 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 159 | $4 | $31 | $108 | 343% | — | $1 – $1.3k |
| 6 | Aetna fee schedule · outpatient · +28 other terms | 125 | $4 | $217 | $1.1k | 485% | — | $1 – $8.4k |
| 7 | Cigna fee schedule · outpatient · +27 other terms | 78 | $5 | $27 | $35 | 129% | — | $0 – $108 |
| 8 | Anthem fee schedule · outpatient · +22 other terms | 66 | $3 | $4 | $9 | 209% | — | $1 – $88 |
| 9 | Kaiser fee schedule · outpatient · +19 other terms | 36 | $3 | $19 | $27 | 147% | — | $1 – $104 |
| 10 | Caresource fee schedule · outpatient · +13 other terms | 33 | $3 | $26 | $22 | 84% | — | $2 – $47 |
| 11 | Highmark facility · fee schedule · outpatient · +12 other terms | 28 | $7 | $28 | $71 | 256% | — | $2 – $311 |
| 12 | Molina facility · case rate · outpatient · +22 other terms | 28 | $47 | $33 | $30 | 92% | — | $2 – $98 |
| 13 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 25 | $11 | $11 | $4 | 42% | — | $5 – $27 |
| 14 | Tricare fee schedule · both · +14 other terms | 25 | $3 | $3 | $0 | 12% | — | $3 – $4 |
| 15 | Bcbs Tx fee schedule · outpatient · +2 other terms | 23 | $11 | $10 | $4 | 34% | — | $3 – $16 |
| 16 | Devoted fee schedule · outpatient · +13 other terms | 22 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 17 | Optum professional · fee schedule · outpatient · +12 other terms | 22 | $3 | $3 | $0 | 14% | — | $2 – $4 |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms | 18 | $7 | $7 | $1 | 11% | — | $6 – $9 |
| 19 | Medicare fee schedule · outpatient · +6 other terms | 18 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Regence fee schedule · outpatient · +10 other terms | 18 | $5 | $5 | $2 | 44% | — | $3 – $10 |
| 21 | Medica professional · fee schedule · outpatient · +14 other terms | 17 | $3 | $4 | $1 | 24% | — | $2 – $6 |
| 22 | Aetna Better Health fee schedule · outpatient · +12 other terms | 16 | $3 | $3 | $1 | 24% | — | $2 – $4 |
| 23 | Medicaid fee schedule · both · +8 other terms | 16 | $182 | $166 | $91 | 55% | — | $2 – $354 |
| 24 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms | 15 | $58 | $66 | $41 | 61% | — | $33 – $220 |
| 25 | WellCare facility · fee schedule · outpatient · +17 other terms | 15 | $3 | $3 | $0 | 3% | — | $3 – $3 |
← Hospitals reporting CPT 99173 · Snapshot 20261111T120946Z-9134e7f7