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
Expandable controller, initl
Low
$11
Average
$210
Median
$116
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 7.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +6 other terms | 267 | $58 | $87 | $89 | 103% | — | $43 – $442 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $58 | $116 | $293 | 253% | — | $22 – $3.8k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $58 | $109 | $125 | 115% | — | $28 – $622 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 190 | $60 | $154 | $325 | 211% | — | $0 – $2.4k |
| 5 | WellCare fee schedule · outpatient · +1 other terms | 185 | $59 | $61 | $10 | 16% | — | $56 – $112 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $58 | $58 | $2 | 3% | — | $55 – $66 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $60 | $59 | $2 | 3% | — | $58 – $63 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $83 | $78 | $29 | 38% | — | $48 – $154 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $59 | $88 | $158 | 179% | — | $55 – $1.7k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $60 | $60 | $0 | 0% | — | $60 – $62 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $58 | $60 | $10 | 17% | — | $55 – $107 |
| 12 | Clover fee schedule · outpatient | 34 | $60 | $59 | $2 | 4% | — | $56 – $62 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $56 | $58 | $17 | 29% | — | $43 – $212 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $58 | $64 | $23 | 36% | — | $55 – $144 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 27 | $59 | $57 | $2 | 3% | — | $55 – $62 |
| 16 | Oscar fee schedule · outpatient | 24 | $56 | $58 | $2 | 3% | — | $56 – $60 |
| 17 | Medicare fee schedule · outpatient | 18 | $56 | $57 | $2 | 3% | — | $55 – $62 |
| 18 | Amerihealth Caritas fee schedule · outpatient | 17 | $69 | $69 | $1 | 2% | — | $66 – $70 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $283 | $285 | $234 | 82% | — | $49 – $636 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $530 | $540 | $140 | 26% | — | $268 – $645 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $56 | $121 | $82 | 68% | — | $56 – $248 |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $172 | $169 | $7 | 4% | — | $146 – $172 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $106 | $107 | $121 | 113% | — | $26 – $462 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $849 | $809 | $274 | 34% | — | $89 – $1.1k |
← Hospitals reporting HCPCS E2377 · Snapshot 20261112T181611Z-3fa9fb76