Mac exam perf

Payers reporting HCPCS G9890

Payer pricing summary

Low

Average

$41

Median

$36

High

$111

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · both · +11 other terms	37	$71	$156	$74	48%	—	$20 – $213
2	Aetna fee schedule · outpatient · +13 other terms	22	$31	$61	$63	104%	—	$26 – $332
3	Humana fee schedule · outpatient · +15 other terms	19	$82	$62	$24	39%	—	$24 – $95
4	Cigna fee schedule · both · +9 other terms	14	$54	$51	$7	14%	—	$30 – $54
5	Molina facility · case rate · outpatient · +11 other terms	14	$43	$46	$11	24%	—	$36 – $83
6	Wellmark fee schedule · both · +1 other terms	13	$1	$1	—	—	—	$1 – $1
7	Highmark fee schedule · outpatient · +5 other terms	10	$27	$27	$1	2%	—	$25 – $27
8	Medica fee schedule · outpatient · +7 other terms	10	$47	$47	$12	26%	—	$28 – $61
9	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	9	$14	$14	—	—	—	$14 – $14
10	Ambetter other · outpatient · +4 other terms	8	$48	$48	$3	6%	—	$38 – $51
11	Anthem other · outpatient · +8 other terms	8	$25	$25	—	—	—	$25 – $25
12	First Health professional · fee schedule · both · +5 other terms	8	$0	$14	$18	129%	—	$0 – $37
13	WellCare professional · fee schedule · both · +3 other terms	8	$0	$0	—	—	—	$0 – $0
14	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$39	$39	—	—	—	$39 – $39
15	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$40	$40	$1	3%	—	$40 – $43
16	Bcbs Il professional · fee schedule · both	7	$0	$0	—	—	—	$0 – $0
17	Caresource other · outpatient · +2 other terms	6	$45	$46	$2	4%	—	$45 – $50
18	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	5	$6	$7	$10	143%	—	$0 – $40
19	MultiPlan professional · fee schedule · both · +7 other terms	3	$0	$12	$17	141%	—	$0 – $37
20	Phcs professional · fee schedule · both · +2 other terms	3	$0	$12	$17	141%	—	$0 – $37
21	Clover facility · other · outpatient	2	$76	$76	$2	3%	—	$74 – $78
22	Medicaid facility · case rate · outpatient · +1 other terms	2	$36	$36	—	—	—	$36 – $36
23	Optum facility · case rate · outpatient · +3 other terms	2	$34	$34	—	—	—	$34 – $34
24	Oscar facility · other · outpatient · +1 other terms	2	$76	$76	$2	3%	—	$74 – $78
25	Regence professional · fee schedule · outpatient · +1 other terms	2	$39	$40	$10	25%	—	$29 – $57

Page 1 of 2 · 40 payers

← Hospitals reporting HCPCS G9890 · Snapshot 20261112T181611Z-3fa9fb76