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
Quadrilateral brim
Low
$89
Average
$458
Median
$426
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 1.9× 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 fee schedule · outpatient · +12 other terms | 359 | $419 | $461 | $197 | 43% | — | $228 – $2.5k |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 356 | $411 | $419 | $94 | 22% | — | $109 – $1.2k |
| 3 | Humana fee schedule · outpatient · +10 other terms | 317 | $450 | $616 | $644 | 105% | — | $103 – $3.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 218 | $459 | $513 | $248 | 48% | — | $0 – $1.9k |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 208 | $415 | $439 | $91 | 21% | — | $332 – $895 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $403 | $410 | $38 | 9% | — | $331 – $482 |
| 7 | Molina fee schedule · outpatient · +6 other terms | 138 | $538 | $546 | $204 | 37% | — | $203 – $1.1k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $431 | $421 | $40 | 10% | — | $344 – $496 |
| 9 | Cigna fee schedule · outpatient · +10 other terms | 102 | $447 | $466 | $134 | 29% | — | $331 – $1.1k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $344 | $502 | $449 | 89% | — | $191 – $2.6k |
| 11 | Kaiser fee schedule · outpatient · +5 other terms | 64 | $351 | $588 | $439 | 75% | — | $331 – $2.7k |
| 12 | Ambetter facility · fee schedule · outpatient · +7 other terms | 45 | $619 | $757 | $243 | 32% | — | $423 – $1.1k |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $423 | $423 | $2 | 0% | — | $395 – $423 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 37 | $450 | $454 | $20 | 4% | — | $423 – $482 |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 36 | $482 | $467 | $86 | 18% | — | $379 – $770 |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $459 | $516 | $224 | 43% | — | $331 – $1.0k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $459 | $434 | $101 | 23% | — | $191 – $532 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $352 | $323 | $84 | 26% | — | $115 – $573 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $358 | $354 | $14 | 4% | — | $311 – $365 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 18 | $551 | $532 | $40 | 7% | — | $423 – $551 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $395 | $395 | — | — | — | $395 – $395 |
| 22 | Medicare fee schedule · outpatient · +1 other terms | 18 | $331 | $332 | $3 | 1% | — | $331 – $337 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $344 | $399 | $99 | 25% | — | $187 – $544 |
| 24 | Tricare facility · fee schedule · outpatient · +2 other terms | 15 | $415 | $414 | $36 | 9% | — | $337 – $459 |
| 25 | Highmark facility · fee schedule · outpatient · +4 other terms | 14 | $767 | $739 | $305 | 41% | — | $398 – $1.2k |
← Hospitals reporting HCPCS L2188 · Snapshot 20261112T181611Z-3fa9fb76