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
facility
Low
$1
Average
$164
Median
$116
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 6.4× 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 | Humana fee schedule · outpatient · +21 other terms | 140 | $64 | $186 | $826 | 444% | — | $2 – $8.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 120 | $64 | $97 | $85 | 87% | — | $1 – $612 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 119 | $216 | $236 | $101 | 43% | — | $0 – $470 |
| 4 | Aetna fee schedule · outpatient · +26 other terms | 99 | $64 | $436 | $1.4k | 311% | — | $1 – $8.4k |
| 5 | Anthem fee schedule · outpatient · +21 other terms | 70 | $67 | $76 | $29 | 38% | — | $13 – $443 |
| 6 | Cigna fee schedule · outpatient · +25 other terms | 43 | $67 | $117 | $104 | 89% | — | $51 – $626 |
| 7 | Molina facility · case rate · outpatient · +17 other terms | 39 | $41 | $45 | $31 | 69% | — | $14 – $134 |
| 8 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $270 | $247 | $91 | 37% | — | $79 – $455 |
| 9 | Kaiser fee schedule · outpatient · +15 other terms | 28 | $67 | $95 | $66 | 70% | — | $64 – $435 |
| 10 | Devoted fee schedule · outpatient · +4 other terms | 21 | $64 | $66 | $2 | 2% | — | $64 – $67 |
| 11 | Caresource facility · case rate · outpatient · +10 other terms | 20 | $47 | $62 | $31 | 50% | — | $25 – $131 |
| 12 | Medicare fee schedule · outpatient · +4 other terms | 18 | $67 | $67 | — | — | — | $67 – $67 |
| 13 | WellCare fee schedule · both · +13 other terms | 16 | $67 | $73 | $10 | 13% | — | $59 – $104 |
| 14 | Optum facility · case rate · outpatient · +12 other terms | 14 | $39 | $43 | $16 | 38% | — | $13 – $66 |
| 15 | Regence fee schedule · outpatient · +12 other terms | 13 | $77 | $83 | $22 | 26% | — | $60 – $195 |
| 16 | Wellmark fee schedule · both · +7 other terms | 13 | $108 | $106 | $5 | 5% | — | $82 – $108 |
| 17 | Aetna Better Health fee schedule · outpatient · +9 other terms | 12 | $53 | $56 | $4 | 7% | — | $53 – $61 |
| 18 | Amerihealth Caritas fee schedule · both · +7 other terms | 12 | $67 | $67 | $1 | 2% | — | $65 – $68 |
| 19 | Bcbs Mn fee schedule · outpatient · +6 other terms | 12 | $136 | $136 | $49 | 36% | — | $64 – $256 |
| 20 | Bcbs Nj fee schedule · outpatient · +2 other terms | 12 | $30 | $30 | — | — | — | $30 – $30 |
| 21 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $64 | $64 | — | — | — | $64 – $64 |
| 22 | Highmark fee schedule · outpatient · +10 other terms | 12 | $75 | $75 | $5 | 6% | — | $31 – $88 |
| 23 | Medica fee schedule · outpatient · +8 other terms | 12 | $213 | $211 | $60 | 28% | — | $97 – $282 |
| 24 | Bcbs Nc fee schedule · both · +2 other terms | 11 | $132 | $132 | — | — | — | $132 – $132 |
| 25 | Ambetter facility · fee schedule · outpatient · +16 other terms | 10 | $118 | $113 | $16 | 15% | — | $64 – $118 |
← Hospitals reporting CPT 99409 · Snapshot 20261113T090226Z-3ce6c0b8