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
Fee Schedule
Low
$0
Average
$7
Median
$4
High
$17
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 4.8× 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 · +2 other terms | 22 | $5 | $5 | $4 | 80% | — | $1 – $14 |
| 2 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $0 | $0 | $0 | 34% | — | $0 – $0 |
| 3 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Aetna professional · fee schedule · both · +1 other terms | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Anthem facility · fee schedule · outpatient · +1 other terms | 2 | $7 | $6 | $1 | 16% | — | $5 – $8 |
| 6 | Cigna facility · fee schedule · outpatient · +2 other terms | 2 | $7 | $6 | $2 | 41% | — | $4 – $9 |
| 7 | Bcbs Id professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $54 | $54 | — | — | — | $54 – $54 |
← Hospitals reporting HCPCS C9039 · Snapshot 20261113T090226Z-3ce6c0b8