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
Travel Clinic-Prev Med Cnsl Spx 30 Min
Low
$30
Average
$124
Median
$112
High
$317
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 3.7× 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 | Humana fee schedule · outpatient · +23 other terms | 226 | $62 | $142 | $644 | 453% | — | $17 – $8.3k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 157 | $151 | $170 | $84 | 50% | — | $0 – $403 |
| 3 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 145 | $62 | $68 | $35 | 52% | — | $1 – $242 |
| 4 | Aetna fee schedule · outpatient · +28 other terms | 119 | $62 | $297 | $1.1k | 368% | — | $17 – $8.4k |
| 5 | Anthem fee schedule · outpatient · +19 other terms | 79 | $65 | $92 | $119 | 128% | — | $17 – $771 |
| 6 | Cigna fee schedule · outpatient · +26 other terms | 74 | $67 | $86 | $46 | 54% | — | $5 – $236 |
| 7 | Molina facility · case rate · outpatient · +22 other terms | 51 | $64 | $73 | $37 | 50% | — | $33 – $249 |
| 8 | Kaiser fee schedule · outpatient · +17 other terms | 35 | $65 | $99 | $92 | 93% | — | $5 – $523 |
| 9 | Bcbs Tx fee schedule · outpatient · +3 other terms | 29 | $204 | $186 | $70 | 37% | — | $60 – $344 |
| 10 | Optum professional · fee schedule · outpatient · +11 other terms | 23 | $64 | $54 | $15 | 27% | — | $29 – $67 |
| 11 | Tricare fee schedule · outpatient · +13 other terms | 23 | $50 | $53 | $4 | 8% | — | $46 – $59 |
| 12 | Caresource fee schedule · outpatient · +13 other terms | 22 | $39 | $41 | $10 | 23% | — | $17 – $62 |
| 13 | Devoted fee schedule · outpatient · +9 other terms | 22 | $62 | $63 | $2 | 3% | — | $60 – $65 |
| 14 | Aetna Better Health fee schedule · outpatient · +11 other terms | 18 | $43 | $47 | $9 | 18% | — | $34 – $63 |
| 15 | Medicare fee schedule · outpatient · +5 other terms | 18 | $65 | $65 | — | — | — | $65 – $65 |
| 16 | Regence fee schedule · outpatient · +12 other terms | 18 | $79 | $98 | $46 | 47% | — | $56 – $244 |
| 17 | WellCare fee schedule · outpatient · +15 other terms | 18 | $57 | $73 | $34 | 47% | — | $25 – $130 |
| 18 | Medica professional · fee schedule · outpatient · +12 other terms | 16 | $67 | $61 | $22 | 36% | — | $9 – $114 |
| 19 | Highmark fee schedule · outpatient · +14 other terms | 14 | $57 | $57 | $6 | 11% | — | $31 – $80 |
| 20 | Ucare professional · fee schedule · outpatient · +8 other terms | 14 | $67 | $66 | $9 | 14% | — | $42 – $96 |
| 21 | Medicaid fee schedule · outpatient · +10 other terms | 13 | $98 | $99 | $43 | 43% | — | $1 – $154 |
| 22 | Wellmark fee schedule · both · +13 other terms | 13 | $81 | $80 | $3 | 3% | — | $63 – $82 |
| 23 | Ambetter facility · fee schedule · outpatient · +15 other terms | 12 | $112 | $98 | $20 | 21% | — | $61 – $112 |
| 24 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $225 | $181 | $89 | 49% | — | $48 – $282 |
| 25 | Bcbs Nj fee schedule · outpatient · +3 other terms | 12 | $24 | $24 | — | — | — | $24 – $24 |
← Hospitals reporting CPT 99402 · Snapshot 20261112T181611Z-3fa9fb76