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
Seat/back cus no dmepdac ver
Low
$0
Average
$282
Median
$71
High
$2.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 10.8× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 23 | $113 | $555 | $1.4k | 261% | — | $0 – $6.2k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 19 | $78 | $151 | $119 | 78% | — | $67 – $433 |
| 3 | Anthem facility · case rate · outpatient · +3 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $49 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $50 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $49 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 15 | $29 | $32 | $7 | 23% | — | $20 – $50 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $218 | $165 | $92 | 56% | — | $71 – $273 |
| 8 | Optum facility · case rate · outpatient | 11 | $27 | $30 | $7 | 22% | — | $24 – $44 |
| 9 | Cigna professional · fee schedule · outpatient · +3 other terms | 10 | $26 | $26 | $1 | 4% | — | $23 – $26 |
| 10 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Humana fee schedule · inpatient · +2 other terms | 5 | $67 | $67 | — | — | — | $67 – $67 |
| 12 | First Health professional · fee schedule · both | 3 | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Bcbs Nc facility · fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 15 | Bcbs Vt professional · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 16 | Healthpartners facility · fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
← Hospitals reporting HCPCS K0669 · Snapshot 20261113T090226Z-3ce6c0b8