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
Micro exam, prep & report
Low
$18
Average
$155
Median
$69
High
$1.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 10.3× 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 · +3 other terms | 70 | $164 | $308 | $198 | 64% | — | $46 – $562 |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 29 | $32 | $31 | $10 | 32% | — | $15 – $57 |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 27 | $59 | $113 | $82 | 72% | — | $34 – $406 |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +8 other terms | 19 | $98 | $118 | $44 | 37% | — | $43 – $228 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $34 | $37 | $9 | 23% | — | $23 – $57 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $35 | $37 | $8 | 23% | — | $23 – $59 |
| 7 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 14 | $239 | $228 | $89 | 39% | — | $26 – $471 |
| 8 | Optum facility · case rate · outpatient · +2 other terms | 13 | $31 | $33 | $9 | 28% | — | $20 – $52 |
| 9 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 12 | $85 | $85 | — | — | — | $85 – $85 |
| 10 | Highmark fee schedule · outpatient · +1 other terms | 11 | $117 | $116 | $7 | 6% | — | $72 – $161 |
| 11 | Cigna professional · fee schedule · outpatient · +6 other terms | 10 | $40 | $42 | $3 | 6% | — | $40 – $47 |
| 12 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Aetna Better Health facility · case rate · outpatient | 7 | $25 | $25 | $0 | 1% | — | $24 – $25 |
| 14 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $23 | $23 | $1 | 3% | — | $23 – $25 |
| 15 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $64 | $64 | — | — | — | $64 – $64 |
| 16 | Medica fee schedule · outpatient · +2 other terms | 3 | $70 | $70 | — | — | — | $70 – $70 |
| 17 | Wellmark facility · case rate · outpatient | 3 | $79 | $69 | $22 | 32% | — | $32 – $87 |
| 18 | Medicaid facility · case rate · outpatient | 2 | $21 | $21 | — | — | — | $21 – $21 |
| 19 | Bcbs Id professional · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 20 | Bcbs Mn fee schedule · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 21 | Bcbs Nv fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 22 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | $8 | 11% | — | $59 – $74 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 24 | Healthpartners facility · fee schedule · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 25 | WellCare facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
← Hospitals reporting HCPCS D0473 · Snapshot 20261112T124536Z-e251e855