PELVIC EXAMINATION

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.

Generation details were not recorded for this description.

Original text from hospital filings

PR Pelvic Examination

Payers reporting CPT 99459

Payer pricing summary

Low

Average

$7.4k

Median

$46

High

$157.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Medicare professional · fee schedule · outpatient · +14 other terms	20	$16	$16	$2	15%	242–251	$13 – $21
2	Ucare professional · fee schedule · outpatient · +12 other terms	25	$15	$16	$3	22%	96–114	$11 – $27
3	Medica professional · fee schedule · outpatient · +15 other terms	29	$18	$19	$6	31%	50–113	$13 – $47
4	UnitedHealthcare fee schedule · outpatient · +36 other terms	132	$24	$82	$128	157%	47–56	$7 – $1.3k
5	Oscar professional · fee schedule · outpatient · +13 other terms	13	$18	$19	$6	31%	38–47	$13 – $31
6	Premera professional · fee schedule · outpatient · +6 other terms	12	$31	$30	$4	15%	16–52	$23 – $34
7	WellCare professional · fee schedule · outpatient · +19 other terms	35	$17	$17	$3	16%	3–30	$11 – $22
8	Regence professional · fee schedule · outpatient · +10 other terms	13	$27	$25	$8	33%	3–30	$13 – $34
9	Optum professional · fee schedule · outpatient · +14 other terms	35	$16	$17	$2	13%	1–10	$13 – $25
10	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +7 other terms	26	$71	$60	$16	27%	1–10	$31 – $76
11	Highmark fee schedule · outpatient · +17 other terms	16	$25	$24	$8	34%	1–10	$7 – $80
12	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	117	$76	$83	$68	82%	—	$0 – $1.3k
13	Aetna fee schedule · outpatient · +32 other terms	104	$22	$271	$1.2k	427%	—	$13 – $8.4k
14	Humana fee schedule · outpatient · +25 other terms	89	$21	$38	$31	82%	—	$14 – $152
15	Cigna fee schedule · outpatient · +23 other terms	77	$31	$45	$35	79%	—	$18 – $151
16	Anthem fee schedule · outpatient · +21 other terms	59	$21	$54	$58	106%	—	$18 – $269
17	Kaiser fee schedule · outpatient · +15 other terms	33	$22	$61	$98	160%	—	$18 – $523
18	Molina professional · fee schedule · both · +21 other terms	28	$17	$17	$2	13%	—	$13 – $23
19	Devoted fee schedule · outpatient · +11 other terms	23	$22	$34	$61	177%	—	$16 – $319
20	Caresource facility · case rate · outpatient · +16 other terms	20	$60	$56	$23	41%	—	$19 – $108
21	Tricare professional · fee schedule · outpatient · +12 other terms	20	$18	$18	$2	10%	—	$16 – $21
22	Bcbs Tx fee schedule · outpatient · +1 other terms	18	$71	$74	$29	39%	—	$26 – $128
23	Cigna Healthspring fee schedule · outpatient · +2 other terms	17	$20	$19	$1	6%	—	$18 – $20
24	MultiPlan fee schedule · both · +15 other terms	16	$44	$74	$49	66%	—	$11 – $148
25	Aetna Better Health professional · fee schedule · both · +11 other terms	15	$17	$16	$3	18%	—	$12 – $21

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