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
Aac non-electronic board
Low
$0
Average
$84
Median
$67
High
$190
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 5.3× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 19 | $138 | $272 | $227 | 84% | — | $36 – $888 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 17 | $108 | $127 | $88 | 69% | — | $0 – $232 |
| 3 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $34 | $36 | $8 | 23% | — | $23 – $57 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $34 | $37 | $9 | 23% | — | $23 – $57 |
| 7 | Wellmark fee schedule · both · +1 other terms | 13 | $20 | $21 | $17 | 81% | — | $4 – $49 |
| 8 | Optum facility · case rate · outpatient | 11 | $31 | $34 | $8 | 22% | — | $28 – $51 |
| 9 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $142 | $142 | — | — | — | $142 – $142 |
| 10 | Humana fee schedule · inpatient · +2 other terms | 5 | $138 | $138 | — | — | — | $138 – $138 |
| 11 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $50 | $52 | $3 | 6% | — | $50 – $57 |
| 12 | First Health professional · fee schedule · both | 3 | $91 | $91 | $63 | 69% | — | $15 – $152 |
| 13 | Bcbs Il professional · fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Bcbs Nv fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | Bcbs Vt professional · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
← Hospitals reporting HCPCS E1902 · Snapshot 20261113T090226Z-3ce6c0b8