Telehealth visit billed by rural or federally qualified health clinic

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

VIRTUAL VISIT

Payers reporting HCPCS G2025

Payer pricing summary

Low

$12

Average

$10.8k

Median

$116

High

$262.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +19 other terms	161	$80	$100	$59	59%	—	$16 – $355
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	141	$95	$114	$60	53%	—	$16 – $401
3	Aetna fee schedule · outpatient · +21 other terms	84	$95	$105	$58	55%	—	$3 – $498
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +18 other terms	46	$178	$247	$177	72%	—	$10 – $739
5	Anthem fee schedule · outpatient · +15 other terms	45	$97	$89	$29	32%	—	$16 – $198
6	Kaiser fee schedule · outpatient · +5 other terms	35	$98	$163	$152	93%	—	$16 – $773
7	Cigna fee schedule · outpatient · +19 other terms	34	$97	$126	$53	42%	—	$55 – $288
8	Molina case rate · outpatient · +12 other terms	31	$95	$105	$21	20%	—	$90 – $144
9	Caresource fee schedule · outpatient · +6 other terms	30	$85	$143	$53	37%	—	$79 – $189
10	WellCare fee schedule · outpatient · +13 other terms	23	$92	$93	$5	5%	—	$89 – $104
11	Devoted fee schedule · outpatient · +6 other terms	21	$97	$97	$1	1%	—	$94 – $98
12	Medicare fee schedule · outpatient · +5 other terms	18	$98	$98	—	—	—	$98 – $98
13	Highmark fee schedule · outpatient · +9 other terms	15	$96	$96	$13	14%	—	$58 – $182
14	Aetna Better Health fee schedule · outpatient · +8 other terms	14	$99	$96	$6	7%	—	$89 – $110
15	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$94	$127	$69	54%	—	$92 – $394
16	Regence fee schedule · outpatient · +7 other terms	13	$110	$121	$33	28%	—	$84 – $288
17	Wellmark fee schedule · both · +6 other terms	13	$138	$138	—	—	—	$138 – $138
18	Ambetter case rate · outpatient · +10 other terms	12	$144	$143	$3	2%	—	$134 – $147
19	Bcbs Nj fee schedule · outpatient	12	$161	$202	$75	37%	—	$139 – $376
20	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$95	$95	—	—	—	$95 – $95
21	Optum facility · case rate · outpatient · +6 other terms	12	$59	$70	$18	26%	—	$53 – $100
22	Medica fee schedule · outpatient · +10 other terms	11	$307	$305	$121	40%	—	$97 – $441
23	Sanford Health Plan fee schedule · outpatient · +6 other terms	11	$92	$95	$2	3%	—	$92 – $97
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	10	$94	$115	$24	21%	—	$94 – $148
25	Ucare fee schedule · both · +4 other terms	9	$95	$95	$2	3%	—	$92 – $97

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