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
Teledentistry real-time
Low
$1
Average
$173
Median
$103
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 14.2× 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 | $89 | $135 | $81 | 60% | — | $37 – $338 |
| 2 | UnitedHealthcare professional · fee schedule · outpatient · +8 other terms | 25 | $33 | $38 | $12 | 33% | — | $17 – $76 |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 20 | $19 | $78 | $111 | 141% | — | $12 – $323 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 20 | $319 | $232 | $131 | 56% | — | $56 – $389 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $52 | $57 | $13 | 23% | — | $36 – $89 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $53 | $57 | $13 | 23% | — | $36 – $90 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 13 | $50 | $71 | $42 | 59% | — | $44 – $167 |
| 8 | Cigna professional · fee schedule · outpatient · +5 other terms | 8 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Humana facility · case rate · outpatient · +8 other terms | 8 | $176 | $182 | $9 | 5% | — | $176 – $193 |
| 10 | Aetna Better Health facility · case rate · outpatient | 7 | $211 | $208 | $9 | 4% | — | $175 – $211 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $193 | $196 | $6 | 3% | — | $193 – $211 |
| 12 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 4 | $270 | $270 | — | — | — | $270 – $270 |
| 13 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Medica fee schedule · outpatient · +2 other terms | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 15 | Wellmark facility · case rate · outpatient | 3 | $573 | $503 | $159 | 32% | — | $234 – $633 |
| 16 | Excellus fee schedule · outpatient · +2 other terms | 2 | $16 | $16 | $15 | 90% | — | $5 – $35 |
| 17 | Medicaid facility · case rate · outpatient | 2 | $176 | $176 | — | — | — | $176 – $176 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $335 | $335 | — | — | — | $335 – $335 |
| 20 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $5 | 12% | — | $32 – $41 |
| 22 | Highmark fee schedule · outpatient | 1 | $152 | $152 | $63 | 42% | — | $107 – $242 |
| 23 | WellCare facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
← Hospitals reporting HCPCS D9995 · Snapshot 20261112T181611Z-3fa9fb76