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
Extension per extension per
Low
$1
Average
$102
Median
$88
High
$279
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.6× 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 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 376 | $80 | $83 | $53 | 63% | — | $1 – $572 |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 361 | $88 | $93 | $53 | 57% | — | $35 – $799 |
| 3 | Humana fee schedule · outpatient · +17 other terms | 319 | $84 | $127 | $152 | 120% | — | $36 – $716 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 224 | $91 | $112 | $140 | 125% | — | $0 – $3.1k |
| 5 | WellCare fee schedule · outpatient · +8 other terms | 208 | $91 | $91 | $18 | 20% | — | $67 – $168 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $91 | $88 | $10 | 11% | — | $70 – $100 |
| 7 | Molina fee schedule · outpatient · +11 other terms | 144 | $106 | $120 | $49 | 41% | — | $48 – $244 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $75 | $88 | $9 | 10% | — | $70 – $96 |
| 9 | Cigna fee schedule · outpatient · +15 other terms | 109 | $91 | $103 | $65 | 63% | — | $55 – $592 |
| 10 | Anthem fee schedule · outpatient · +12 other terms | 84 | $91 | $110 | $88 | 80% | — | $45 – $524 |
| 11 | Kaiser fee schedule · outpatient · +12 other terms | 68 | $95 | $132 | $81 | 62% | — | $54 – $523 |
| 12 | Ambetter facility · fee schedule · outpatient · +7 other terms | 46 | $126 | $131 | $29 | 22% | — | $51 – $175 |
| 13 | Caresource fee schedule · outpatient · +6 other terms | 41 | $70 | $71 | $16 | 22% | — | $38 – $108 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $98 | $98 | $0 | 0% | — | $91 – $98 |
| 15 | Clover fee schedule · outpatient · +2 other terms | 37 | $84 | $83 | $9 | 11% | — | $70 – $98 |
| 16 | Oscar fee schedule · outpatient · +7 other terms | 36 | $91 | $97 | $26 | 27% | — | $73 – $158 |
| 17 | Optum fee schedule · outpatient · +4 other terms | 33 | $89 | $112 | $56 | 49% | — | $67 – $233 |
| 18 | Medica facility · fee schedule · outpatient · +6 other terms | 22 | $71 | $67 | $18 | 27% | — | $23 – $116 |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $97 | $88 | $15 | 17% | — | $59 – $99 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $84 | $82 | $4 | 5% | — | $71 – $84 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $91 | $91 | — | — | — | $91 – $91 |
| 22 | Medicare fee schedule · outpatient · +3 other terms | 18 | $89 | $90 | $1 | 1% | — | $89 – $91 |
| 23 | Tricare facility · fee schedule · outpatient · +2 other terms | 16 | $70 | $76 | $9 | 11% | — | $68 – $91 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $70 | $81 | $20 | 25% | — | $38 – $110 |
| 25 | Highmark facility · fee schedule · outpatient · +5 other terms | 14 | $128 | $127 | $53 | 42% | — | $67 – $226 |
← Hospitals reporting HCPCS L2760 · Snapshot 20261112T181611Z-3fa9fb76