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
Bitewing image capture only
Low
$8
Average
$124
Median
$30
High
$683
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
20 payers; the 90th percentile is 33.0× 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 | Molina facility · case rate · outpatient · +5 other terms | 29 | $423 | $335 | $333 | 99% | — | $21 – $1.0k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 25 | $18 | $29 | $19 | 66% | — | $8 – $102 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms | 19 | $22 | $19 | $4 | 21% | — | $14 – $29 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 18 | $593 | $534 | $295 | 55% | — | $24 – $1.0k |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $604 | $660 | $155 | 23% | — | $411 – $1.0k |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $615 | $661 | $151 | 23% | — | $411 – $1.0k |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 13 | $546 | $533 | $253 | 47% | — | $23 – $927 |
| 8 | Cigna professional · fee schedule · outpatient · +1 other terms | 8 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Humana facility · case rate · outpatient · +2 other terms | 8 | $24 | $25 | $1 | 5% | — | $24 – $26 |
| 10 | Aetna Better Health facility · case rate · outpatient | 7 | $29 | $29 | $0 | 1% | — | $28 – $29 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $26 | $27 | $1 | 3% | — | $26 – $29 |
| 12 | Medica fee schedule · outpatient · +2 other terms | 3 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Wellmark facility · case rate · outpatient | 3 | $91 | $80 | $25 | 32% | — | $37 – $101 |
| 14 | Medicaid facility · case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 16 | Bcbs Mn fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 17 | Highmark fee schedule · outpatient | 1 | $44 | $44 | $18 | 42% | — | $31 – $70 |
| 18 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 19 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | WellCare facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Hospitals reporting HCPCS D0388 · Snapshot 20261112T181611Z-3fa9fb76