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
Tens four lead
Low
$9
Average
$169
Median
$139
High
$540
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 5.1× 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 | Humana fee schedule · outpatient · +7 other terms | 267 | $92 | $146 | $135 | 93% | — | $5 – $620 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 259 | $92 | $153 | $200 | 131% | — | $13 – $2.0k |
| 3 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 257 | $92 | $111 | $87 | 78% | — | $3 – $382 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 192 | $99 | $252 | $216 | 86% | — | $0 – $1.7k |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 185 | $75 | $96 | $62 | 64% | — | $69 – $401 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $74 | $95 | $66 | 70% | — | $65 – $341 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $96 | $87 | $48 | 56% | — | $69 – $335 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $104 | $125 | $92 | 74% | — | $57 – $789 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 77 | $95 | $164 | $125 | 76% | — | $65 – $485 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $74 | $81 | $42 | 51% | — | $74 – $316 |
| 11 | Anthem fee schedule · outpatient · +6 other terms | 38 | $69 | $118 | $108 | 91% | — | $65 – $497 |
| 12 | Clover fee schedule · outpatient | 34 | $81 | $103 | $67 | 64% | — | $74 – $326 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $240 | $260 | $105 | 40% | — | $69 – $1.0k |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $92 | $121 | $85 | 70% | — | $65 – $325 |
| 15 | Kaiser fee schedule · outpatient · +4 other terms | 27 | $70 | $93 | $71 | 77% | — | $65 – $302 |
| 16 | Oscar fee schedule · outpatient | 24 | $69 | $81 | $14 | 17% | — | $69 – $97 |
| 17 | Medicare fee schedule · outpatient | 18 | $65 | $97 | $80 | 82% | — | $65 – $302 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $111 | $140 | $82 | 58% | — | $105 – $372 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $92 | $92 | — | — | — | $92 – $92 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $144 | $142 | $117 | 82% | — | $26 – $262 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $262 | $265 | $69 | 26% | — | $132 – $318 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $81 | $175 | $119 | 68% | — | $81 – $359 |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $911 | $869 | $134 | 15% | — | $444 – $911 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $125 | $129 | $138 | 107% | — | $8 – $635 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $136 | $130 | $44 | 34% | — | $7 – $175 |
← Hospitals reporting HCPCS E0730 · Snapshot 20261112T181611Z-3fa9fb76