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
Fee Schedule
Low
$16
Average
$50
Median
$46
High
$104
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 3.7× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · fee schedule · outpatient · +3 other terms | 10 | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Anthem facility · fee schedule · outpatient · +4 other terms | 9 | $10 | $14 | $5 | 35% | — | $10 – $30 |
| 3 | Cigna fee schedule · outpatient · +3 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 5 | $119 | $112 | $11 | 10% | — | $93 – $124 |
| 5 | Excellus facility · fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 2 | $26 | $24 | $3 | 12% | — | $23 – $30 |
| 7 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | $26 | 33% | — | $53 – $104 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Tricare facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
← Hospitals reporting HCPCS G6031 · Snapshot 20261112T181611Z-3fa9fb76