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HCPCS E1003-RR

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Payer pricing summary

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Low

$395

Average

$566

Median

$528

High

$1.0k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 10 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	7	$528	$558	$198	35%	—	$410 – $1.2k
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$539	$539	—	—	—	$539 – $539
3	Humana facility · fee schedule · outpatient	5	$496	$499	$6	1%	—	$496 – $512
4	Aetna facility · fee schedule · outpatient	4	$948	$787	$279	35%	—	$305 – $948
5	UnitedHealthcare facility · fee schedule · outpatient	4	$395	$395	—	—	—	$395 – $395
6	WellCare facility · fee schedule · outpatient	4	$539	$539	—	—	—	$539 – $539
7	Cigna facility · fee schedule · outpatient	3	$1.1k	$1.0k	$199	20%	—	$778 – $1.4k
8	Regence facility · fee schedule · outpatient	2	$517	$517	—	—	—	$517 – $517
9	Caresource facility · fee schedule · outpatient	1	$414	$414	—	—	—	$414 – $414
10	Molina facility · fee schedule · outpatient	1	$410	$410	—	—	—	$410 – $410

← Hospitals reporting HCPCS E1003-RR · Snapshot 20261113T090226Z-3ce6c0b8