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
Instrument Based Ocular Scr Bi W/Onsite Analysis
Low
$3
Average
$77
Median
$23
High
$557
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 49.0× 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 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 171 | $15 | $24 | $41 | 176% | 1,045 | $0 – $403 |
| 2 | Medica professional · fee schedule · outpatient · +10 other terms | 16 | $5 | $6 | $1 | 18% | 1–10 | $4 – $9 |
| 3 | Humana fee schedule · outpatient · +19 other terms | 179 | $5 | $14 | $17 | 126% | — | $3 – $152 |
| 4 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 94 | $5 | $22 | $79 | 355% | — | $3 – $643 |
| 5 | Aetna fee schedule · outpatient · +21 other terms | 85 | $5 | $432 | $1.5k | 350% | — | $4 – $8.4k |
| 6 | Anthem fee schedule · outpatient · +18 other terms | 58 | $5 | $18 | $8 | 43% | — | $4 – $29 |
| 7 | Cigna fee schedule · outpatient · +22 other terms | 39 | $5 | $9 | $8 | 95% | — | $5 – $44 |
| 8 | Molina facility · case rate · outpatient · +18 other terms | 35 | $58 | $46 | $33 | 72% | — | $3 – $98 |
| 9 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $19 | $17 | $6 | 37% | — | $5 – $32 |
| 10 | Kaiser fee schedule · outpatient · +9 other terms | 30 | $5 | $50 | $118 | 235% | — | $5 – $523 |
| 11 | Devoted fee schedule · outpatient · +9 other terms | 22 | $5 | $5 | $0 | 5% | — | $5 – $5 |
| 12 | Caresource facility · case rate · outpatient · +8 other terms | 20 | $56 | $47 | $28 | 59% | — | $4 – $100 |
| 13 | Optum professional · fee schedule · outpatient · +9 other terms | 19 | $5 | $5 | $1 | 13% | — | $3 – $6 |
| 14 | Medicare fee schedule · outpatient · +2 other terms | 18 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | Regence fee schedule · outpatient · +8 other terms | 15 | $6 | $7 | $3 | 38% | — | $4 – $15 |
| 16 | Aetna Better Health facility · fee schedule · outpatient · +9 other terms | 14 | $3 | $7 | $8 | 109% | — | $3 – $38 |
| 17 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +1 other terms | 14 | $272 | $267 | $28 | 11% | — | $170 – $290 |
| 18 | Ucare professional · fee schedule · outpatient · +5 other terms | 14 | $6 | $5 | $1 | 10% | — | $3 – $6 |
| 19 | WellCare case rate · outpatient · +11 other terms | 14 | $5 | $5 | $0 | 9% | — | $4 – $6 |
| 20 | Highmark fee schedule · outpatient · +8 other terms | 13 | $6 | $6 | $4 | 67% | — | $4 – $21 |
| 21 | Tricare fee schedule · both · +9 other terms | 13 | $4 | $4 | $0 | 2% | — | $4 – $4 |
| 22 | Wellmark fee schedule · both · +5 other terms | 13 | $10 | $10 | $1 | 9% | — | $7 – $11 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $909 | $581 | $502 | 86% | — | $5 – $1.1k |
| 24 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 12 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Medcost fee schedule · both · +8 other terms | 12 | $11 | $11 | — | — | — | $11 – $11 |
← Hospitals reporting CPT 99177 · Snapshot 20261111T120946Z-9134e7f7