HCPCS D2976
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
Band stabilization per tooth
Low
$33
Average
$1.8k
Median
$1.4k
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 74.0× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +4 other terms | 28 | $1.5k | $5.3k | $19.8k | 374% | — | $1.2k – $111.7k |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 19 | $1.4k | $1.6k | $1.2k | 76% | — | $544 – $4.2k |
| 3 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 17 | $1.5k | $7.9k | $25.9k | 328% | — | $156 – $111.7k |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 16 | $1.5k | $8.2k | $25.9k | 317% | — | $1.3k – $108.4k |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 6 | Optum facility · case rate · outpatient | 13 | $1.4k | $1.4k | $13 | 1% | — | $1.3k – $1.4k |
| 7 | Aetna facility · fee schedule · outpatient · +5 other terms | 12 | $121 | $114 | $25 | 22% | — | $52 – $141 |
| 8 | Cigna professional · fee schedule · outpatient · +2 other terms | 8 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Aetna Better Health facility · case rate · outpatient | 6 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Humana facility · case rate · outpatient · +2 other terms | 5 | $1.4k | $1.4k | $68 | 5% | — | $1.4k – $1.5k |
| 12 | Medica facility · fee schedule · outpatient · +1 other terms | 2 | $29 | $29 | $14 | 47% | — | $17 – $50 |
| 13 | Medicaid facility · case rate · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Wellmark facility · case rate · outpatient | 2 | $4.0k | $4.0k | $1.8k | 46% | — | $2.2k – $5.9k |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 16 | Bcbs Mn fee schedule · outpatient | 1 | $2.6k | $2.6k | $1.1k | 44% | — | $918 – $3.7k |
| 17 | Highmark fee schedule · outpatient | 1 | $215 | $215 | $89 | 42% | — | $152 – $342 |
| 18 | Tricare professional · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | WellCare facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Hospitals reporting HCPCS D2976 · Snapshot 20261113T090226Z-3ce6c0b8