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
$9
Average
$40
Median
$45
High
$70
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 6.0× 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 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Anthem facility · fee schedule · outpatient · +3 other terms | 9 | $5 | $8 | $3 | 36% | — | $5 – $16 |
| 3 | Cigna fee schedule · outpatient · +4 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 5 | $70 | $65 | $7 | 10% | — | $54 – $72 |
| 5 | Excellus facility · fee schedule · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 2 | $15 | $14 | $2 | 12% | — | $13 – $18 |
| 7 | Healthpartners facility · fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
← Hospitals reporting HCPCS G6040 · Snapshot 20261112T181611Z-3fa9fb76