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
Custom abutment
Low
$227
Average
$1.1k
Median
$739
High
$7.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 6.4× 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 | Humana fee schedule · outpatient · +9 other terms | 70 | $1.7k | $1.4k | $756 | 54% | — | $264 – $2.3k |
| 2 | Molina facility · case rate · outpatient · +6 other terms | 30 | $1.5k | $4.7k | $19.2k | 410% | — | $279 – $111.7k |
| 3 | UnitedHealthcare professional · fee schedule · outpatient · +11 other terms | 27 | $475 | $597 | $221 | 37% | — | $305 – $1.0k |
| 4 | Aetna fee schedule · outpatient · +11 other terms | 23 | $241 | $742 | $728 | 98% | — | $79 – $2.8k |
| 5 | Anthem professional · fee schedule · outpatient · +6 other terms | 16 | $393 | $779 | $708 | 91% | — | $287 – $2.9k |
| 6 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 13 | $1.4k | $1.3k | $202 | 16% | — | $799 – $1.4k |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms | 11 | $1.1k | $1.2k | $320 | 27% | — | $1.1k – $2.2k |
| 9 | Cigna professional · fee schedule · outpatient · +7 other terms | 10 | $283 | $277 | $10 | 4% | — | $255 – $283 |
| 10 | Highmark fee schedule · outpatient · +3 other terms | 10 | $525 | $525 | — | — | — | $525 – $525 |
| 11 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $1.0k | $1.0k | $13 | 1% | — | $967 – $1.0k |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $925 | $937 | $29 | 3% | — | $925 – $1.0k |
| 13 | Medica fee schedule · outpatient · +3 other terms | 5 | $516 | $549 | $269 | 49% | — | $333 – $1.0k |
| 14 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 5 | $990 | $957 | $67 | 7% | — | $823 – $990 |
| 15 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $280 | $280 | — | — | — | $280 – $280 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $3.2k | $2.8k | $887 | 32% | — | $1.3k – $3.5k |
| 17 | Medicaid facility · case rate · outpatient | 2 | $841 | $841 | — | — | — | $841 – $841 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 21 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $700 | $700 | — | — | — | $700 – $700 |
| 22 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $427 | $427 | $48 | 11% | — | $379 – $474 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 24 | Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $629 | $629 | — | — | — | $629 – $629 |
| 25 | Excellus percent of total billed charges · bothfrom % of charges | 1 | $700 | $700 | — | — | — | $700 – $700 |
← Hospitals reporting HCPCS D6057 · Snapshot 20261112T124536Z-e251e855