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
Unrelat prac follow up visit
Low
$0
Average
$14
Median
$10
High
$33
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
47 payers; the 90th percentile is 3.4× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 85 | $29 | $30 | $15 | 50% | — | $0 – $76 |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 74 | $9 | $12 | $4 | 34% | — | $8 – $18 |
| 3 | Aetna fee schedule · outpatient · +14 other terms | 69 | $9 | $13 | $10 | 73% | — | $7 – $52 |
| 4 | Humana fee schedule · outpatient · +11 other terms | 57 | $9 | $9 | $1 | 7% | — | $8 – $11 |
| 5 | Anthem fee schedule · outpatient · +10 other terms | 43 | $30 | $39 | $26 | 67% | — | $8 – $108 |
| 6 | Bcbs Tx fee schedule · outpatient | 30 | $36 | $33 | $12 | 37% | — | $11 – $61 |
| 7 | Kaiser fee schedule · outpatient · +5 other terms | 29 | $9 | $10 | $4 | 37% | — | $8 – $22 |
| 8 | Cigna fee schedule · outpatient · +12 other terms | 25 | $9 | $10 | $4 | 40% | — | $8 – $25 |
| 9 | Molina facility · case rate · outpatient · +8 other terms | 25 | $54 | $39 | $28 | 72% | — | $5 – $98 |
| 10 | Devoted fee schedule · outpatient · +6 other terms | 22 | $9 | $9 | $0 | 4% | — | $9 – $10 |
| 11 | Caresource facility · case rate · outpatient · +7 other terms | 20 | $56 | $49 | $25 | 52% | — | $8 – $100 |
| 12 | Medicare fee schedule · outpatient · +3 other terms | 18 | $9 | $8 | $0 | 2% | — | $8 – $9 |
| 13 | WellCare facility · fee schedule · outpatient · +7 other terms | 15 | $9 | $9 | $1 | 7% | — | $8 – $10 |
| 14 | Wellmark fee schedule · both | 13 | $13 | $13 | $3 | 23% | — | $8 – $16 |
| 15 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $8 | $8 | $0 | 1% | — | $8 – $9 |
| 16 | Optum facility · case rate · outpatient · +5 other terms | 12 | $53 | $52 | $22 | 43% | — | $9 – $89 |
| 17 | Medicaid fee schedule · outpatient | 11 | $22 | $21 | $4 | 21% | — | $7 – $22 |
| 18 | Oscar fee schedule · outpatient · +2 other terms | 11 | $7 | $7 | $6 | 81% | — | $1 – $17 |
| 19 | Medical Mutual facility · fee schedule · outpatient | 10 | $9 | $12 | $2 | 21% | — | $9 – $15 |
| 20 | Ambetter facility · fee schedule · outpatient · +5 other terms | 9 | $17 | $16 | $3 | 16% | — | $9 – $17 |
| 21 | Medica fee schedule · both · +3 other terms | 9 | $9 | $9 | $0 | 1% | — | $9 – $9 |
| 22 | Ucare fee schedule · both · +2 other terms | 9 | $17 | $18 | $6 | 34% | — | $9 – $22 |
| 23 | Bcbs Mn fee schedule · both · +3 other terms | 8 | $13 | $13 | $4 | 26% | — | $8 – $16 |
| 24 | Sanford Health Plan fee schedule · both · +2 other terms | 8 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 6 | $8 | $9 | $1 | 7% | — | $8 – $10 |
← Hospitals reporting HCPCS G0559 · Snapshot 20261112T124536Z-e251e855