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
Waist belt
Low
$26
Average
$130
Median
$117
High
$304
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.1× 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 · +11 other terms | 359 | $116 | $128 | $53 | 42% | — | $59 – $671 |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 356 | $117 | $114 | $25 | 22% | — | $49 – $333 |
| 3 | Humana fee schedule · outpatient · +11 other terms | 317 | $115 | $171 | $185 | 108% | — | $54 – $885 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 218 | $119 | $145 | $71 | 49% | — | $0 – $554 |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 208 | $118 | $121 | $18 | 15% | — | $101 – $211 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $115 | $115 | $6 | 5% | — | $100 – $136 |
| 7 | Molina fee schedule · outpatient · +6 other terms | 138 | $148 | $155 | $59 | 38% | — | $60 – $301 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $117 | $117 | $6 | 6% | — | $104 – $138 |
| 9 | Cigna fee schedule · outpatient · +10 other terms | 102 | $120 | $127 | $33 | 26% | — | $100 – $307 |
| 10 | Anthem fee schedule · outpatient · +10 other terms | 81 | $104 | $148 | $137 | 93% | — | $56 – $786 |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $106 | $165 | $116 | 70% | — | $100 – $736 |
| 12 | Ambetter facility · fee schedule · outpatient · +7 other terms | 45 | $173 | $205 | $59 | 29% | — | $117 – $298 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $121 | $121 | $1 | 0% | — | $113 – $121 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 37 | $119 | $115 | $9 | 8% | — | $106 – $134 |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 36 | $125 | $131 | $24 | 18% | — | $113 – $200 |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $119 | $146 | $64 | 43% | — | $100 – $288 |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $119 | $120 | $30 | 25% | — | $56 – $162 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $107 | $98 | $26 | 26% | — | $35 – $177 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $108 | $104 | $8 | 8% | — | $84 – $110 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $143 | $138 | $11 | 8% | — | $109 – $143 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $113 | $113 | — | — | — | $113 – $113 |
| 22 | Medicare fee schedule · outpatient · +2 other terms | 18 | $100 | $100 | $1 | 1% | — | $100 – $102 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $105 | $121 | $30 | 25% | — | $57 – $166 |
| 24 | Highmark facility · fee schedule · outpatient · +4 other terms | 14 | $192 | $185 | $77 | 41% | — | $103 – $305 |
| 25 | Tricare facility · fee schedule · outpatient · +2 other terms | 14 | $107 | $106 | $4 | 4% | — | $97 – $117 |
← Hospitals reporting HCPCS L2190 · Snapshot 20261112T181611Z-3fa9fb76