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
O shoe add standard toe tap
Low
$3
Average
$13
Median
$11
High
$36
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.2× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +10 other terms | 360 | $11 | $13 | $6 | 46% | — | $5 – $71 |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 357 | $11 | $11 | $3 | 23% | — | $4 – $35 |
| 3 | Humana fee schedule · outpatient · +11 other terms | 318 | $11 | $16 | $18 | 107% | — | $6 – $85 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 217 | $11 | $14 | $7 | 52% | — | $0 – $53 |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 208 | $11 | $12 | $2 | 15% | — | $10 – $21 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $11 | $11 | $0 | 2% | — | $11 – $13 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 139 | $16 | $15 | $6 | 37% | — | $7 – $29 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $11 | $11 | $0 | 3% | — | $11 – $13 |
| 9 | Cigna fee schedule · outpatient · +9 other terms | 102 | $11 | $13 | $3 | 27% | — | $11 – $32 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $11 | $15 | $15 | 96% | — | $10 – $82 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 64 | $11 | $18 | $12 | 70% | — | $11 – $78 |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $12 | $12 | $0 | 1% | — | $11 – $12 |
| 13 | Clover fee schedule · outpatient · +3 other terms | 37 | $11 | $11 | $1 | 6% | — | $10 – $13 |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 36 | $12 | $13 | $3 | 21% | — | $11 – $19 |
| 15 | Ambetter facility · fee schedule · outpatient · +5 other terms | 33 | $20 | $21 | $5 | 24% | — | $10 – $28 |
| 16 | Optum fee schedule · outpatient · +3 other terms | 33 | $11 | $14 | $6 | 40% | — | $11 – $28 |
| 17 | Caresource fee schedule · outpatient · +4 other terms | 26 | $11 | $13 | $3 | 20% | — | $11 – $17 |
| 18 | Medica facility · fee schedule · outpatient · +6 other terms | 22 | $11 | $10 | $3 | 26% | — | $4 – $18 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $12 | $11 | $1 | 8% | — | $9 – $12 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $13 | $13 | $1 | 6% | — | $11 – $13 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Medicare fee schedule · outpatient · +1 other terms | 18 | $11 | $11 | $0 | 1% | — | $11 – $11 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $11 | $13 | $3 | 25% | — | $6 – $17 |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $10 | $10 | $2 | 23% | — | $5 – $12 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $10 | $10 | $0 | 3% | — | $8 – $10 |
← Hospitals reporting HCPCS L3550 · Snapshot 20261112T181611Z-3fa9fb76