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
Excavate tooth non-restorabl
Low
$51
Average
$713
Median
$222
High
$5.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 19.1× 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 | UnitedHealthcare case rate · outpatient · +5 other terms | 263 | $6k | $5.1k | $4.1k | 79% | — | $1 – $30k |
| 2 | Molina facility · case rate · outpatient · +4 other terms | 28 | $87 | $132 | $81 | 61% | — | $37 – $338 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 19 | $478 | $348 | $161 | 46% | — | $133 – $478 |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 16 | $53 | $135 | $302 | 224% | — | $36 – $1.3k |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $53 | $57 | $13 | 23% | — | $36 – $90 |
| 6 | Aetna case rate · outpatient · +5 other terms | 14 | $2.3k | $2.3k | $1.7k | 73% | — | $347 – $6.5k |
| 7 | Cigna case rate · outpatient · +4 other terms | 13 | $2.4k | $2.7k | $1.1k | 41% | — | $1.2k – $5.1k |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $50 | $71 | $42 | 59% | — | $44 – $167 |
| 9 | Ambetter case rate · outpatient | 10 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Aetna Better Health facility · case rate · outpatient | 6 | $211 | $211 | — | — | — | $211 – $211 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $193 | $193 | — | — | — | $193 – $193 |
| 12 | Bcbs Ms fee schedule · outpatient | 5 | $300 | $300 | — | — | — | $300 – $300 |
| 13 | Humana facility · case rate · outpatient · +2 other terms | 5 | $176 | $183 | $9 | 5% | — | $176 – $193 |
| 14 | First Health other · outpatient | 3 | $2.7k | $2.6k | $130 | 5% | — | $2.4k – $2.7k |
| 15 | Medica fee schedule · outpatient · +2 other terms | 3 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Medicaid facility · case rate · outpatient | 2 | $176 | $176 | — | — | — | $176 – $176 |
| 17 | Wellmark facility · case rate · outpatient | 2 | $433 | $433 | $200 | 46% | — | $234 – $633 |
| 18 | Bcbs Al other · outpatient | 1 | $719 | $719 | — | — | — | $719 – $719 |
| 19 | Bcbs Id professional · fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 20 | Bcbs Mn fee schedule · outpatient | 1 | $478 | $478 | — | — | — | $478 – $478 |
| 21 | Highmark fee schedule · outpatient | 1 | $152 | $152 | $63 | 42% | — | $107 – $242 |
| 22 | Medical Mutual fee schedule · outpatient | 1 | $1.1k | $1.1k | $80 | 7% | — | $966 – $1.1k |
| 23 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 24 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 25 | WellCare facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
← Hospitals reporting HCPCS D2989 · Snapshot 20261112T124536Z-e251e855