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HCPCS E0574-RR

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Payer pricing summary

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Low

$45

Average

$62

Median

$55

High

$99

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$56	$56	$8	15%	—	$44 – $75
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$55	$55	—	—	—	$55 – $55
3	Humana facility · fee schedule · outpatient	5	$51	$51	$1	1%	—	$51 – $52
4	UnitedHealthcare facility · fee schedule · outpatient	5	$38	$45	$13	30%	—	$38 – $71
5	Aetna facility · fee schedule · outpatient	4	$98	$81	$28	35%	—	$33 – $98
6	WellCare facility · fee schedule · outpatient	4	$55	$55	—	—	—	$55 – $55
7	Cigna facility · fee schedule · outpatient	3	$104	$99	$19	20%	—	$76 – $134
8	Regence facility · fee schedule · outpatient	2	$54	$54	—	—	—	$54 – $54

← Hospitals reporting HCPCS E0574-RR · Snapshot 20261113T090226Z-3ce6c0b8