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
$2
Average
$129
Median
$100
High
$362
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 101.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +3 other terms | 35 | $12 | $13 | $5 | 37% | — | $2 – $16 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 22 | $5 | $6 | $4 | 60% | — | $2 – $11 |
| 3 | Wellmark fee schedule · both · +1 other terms | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Anthem facility · fee schedule · outpatient · +2 other terms | 8 | $592 | $168 | $383 | 228% | — | $0 – $1.3k |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 4 | $473 | $494 | $122 | 25% | — | $345 – $685 |
| 6 | Aetna professional · fee schedule · outpatient · +6 other terms | 3 | $4 | $62 | $119 | 191% | — | $2 – $301 |
| 7 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Amerihealth Caritas case rate · outpatient · +1 other terms | 2 | $317 | $317 | — | — | — | $317 – $317 |
| 9 | Cigna fee schedule · both · +2 other terms | 2 | $2 | $2 | $0 | 18% | — | $2 – $2 |
| 10 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 2 | $463 | $414 | $138 | 33% | — | $317 – $609 |
| 11 | Aetna Better Health facility · case rate · outpatient | 1 | $343 | $343 | $12 | 3% | — | $331 – $355 |
| 12 | Healthpartners facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Kaiser facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Hospitals reporting HCPCS G9020 · Snapshot 20261113T090226Z-3ce6c0b8