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
$20
Average
$54
Median
$34
High
$134
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 5.2× 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 · +1 other terms | 10 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Anthem facility · fee schedule · outpatient · +4 other terms | 9 | $8 | $15 | $6 | 44% | — | $8 – $25 |
| 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 | $153 | $143 | $14 | 10% | — | $119 – $158 |
| 5 | Excellus facility · fee schedule · outpatient | 2 | $20 | $20 | $0 | 0% | — | $20 – $20 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 2 | $34 | $31 | $4 | 12% | — | $29 – $39 |
| 7 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
← Hospitals reporting HCPCS G6055 · Snapshot 20261112T181611Z-3fa9fb76