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
Bk fork strap
Low
$20
Average
$104
Median
$78
High
$394
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 3.7× 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 · +20 other terms | 377 | $61 | $67 | $36 | 54% | — | $14 – $382 |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 370 | $62 | $78 | $53 | 69% | — | $23 – $723 |
| 3 | Humana fee schedule · outpatient · +18 other terms | 327 | $61 | $94 | $105 | 112% | — | $21 – $507 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 227 | $65 | $85 | $47 | 55% | — | $0 – $318 |
| 5 | WellCare fee schedule · outpatient · +9 other terms | 216 | $65 | $67 | $11 | 17% | — | $14 – $118 |
| 6 | Devoted fee schedule · outpatient · +5 other terms | 165 | $60 | $64 | $4 | 6% | — | $58 – $80 |
| 7 | Molina fee schedule · outpatient · +11 other terms | 141 | $92 | $91 | $35 | 39% | — | $25 – $173 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $63 | $65 | $3 | 4% | — | $59 – $81 |
| 9 | Cigna fee schedule · outpatient · +17 other terms | 110 | $65 | $88 | $63 | 72% | — | $23 – $329 |
| 10 | Anthem fee schedule · outpatient · +15 other terms | 83 | $60 | $85 | $78 | 91% | — | $34 – $442 |
| 11 | Kaiser fee schedule · outpatient · +13 other terms | 70 | $61 | $116 | $94 | 81% | — | $58 – $577 |
| 12 | Ambetter facility · fee schedule · outpatient · +7 other terms | 46 | $106 | $111 | $24 | 22% | — | $43 – $156 |
| 13 | Clover fee schedule · outpatient · +3 other terms | 42 | $61 | $62 | $4 | 7% | — | $59 – $79 |
| 14 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $69 | $69 | $0 | 0% | — | $65 – $69 |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 37 | $59 | $60 | $18 | 29% | — | $30 – $91 |
| 16 | Oscar fee schedule · outpatient · +6 other terms | 36 | $65 | $76 | $23 | 30% | — | $62 – $134 |
| 17 | Optum fee schedule · outpatient · +5 other terms | 33 | $59 | $82 | $37 | 45% | — | $57 – $165 |
| 18 | Medicare fee schedule · outpatient · +3 other terms | 23 | $58 | $58 | $0 | 1% | — | $58 – $59 |
| 19 | Medica facility · fee schedule · outpatient · +6 other terms | 22 | $60 | $56 | $15 | 28% | — | $20 – $109 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 18 | $71 | $69 | $3 | 5% | — | $60 – $71 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $65 | $65 | — | — | — | $65 – $65 |
| 22 | Regence facility · fee schedule · outpatient · +6 other terms | 17 | $62 | $64 | $4 | 6% | — | $60 – $75 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $59 | $68 | $17 | 25% | — | $32 – $93 |
| 24 | MultiPlan fee schedule · outpatient · +13 other terms | 15 | $137 | $198 | $111 | 56% | — | $65 – $366 |
| 25 | Tricare facility · fee schedule · outpatient · +3 other terms | 15 | $59 | $59 | $1 | 2% | — | $54 – $61 |
← Hospitals reporting HCPCS L5684 · Snapshot 20261112T181611Z-3fa9fb76