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
Term dev, sport/rec/work att
Low
$248
Average
$936
Median
$883
High
$2.1k
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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +12 other terms | 361 | $847 | $944 | $461 | 49% | — | $343 – $5.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 358 | $821 | $806 | $225 | 28% | — | $351 – $2.5k |
| 3 | Humana fee schedule · outpatient · +11 other terms | 319 | $821 | $1.3k | $1.6k | 121% | — | $434 – $7.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 219 | $931 | $1.1k | $612 | 55% | — | $0 – $4.6k |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 208 | $908 | $917 | $139 | 15% | — | $703 – $1.4k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $864 | $889 | $96 | 11% | — | $717 – $1.0k |
| 7 | Molina fee schedule · outpatient · +4 other terms | 140 | $1.3k | $1.3k | $503 | 40% | — | $602 – $2.5k |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $767 | $892 | $88 | 10% | — | $717 – $984 |
| 9 | Cigna fee schedule · outpatient · +10 other terms | 102 | $864 | $907 | $253 | 28% | — | $703 – $2.4k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $864 | $1.1k | $1.1k | 99% | — | $568 – $6.2k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 64 | $899 | $1.3k | $882 | 66% | — | $767 – $5.6k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $997 | $997 | $5 | 0% | — | $931 – $997 |
| 13 | Clover fee schedule · outpatient · +3 other terms | 37 | $718 | $783 | $115 | 15% | — | $704 – $997 |
| 14 | Oscar fee schedule · outpatient · +4 other terms | 36 | $931 | $1.0k | $270 | 27% | — | $753 – $1.6k |
| 15 | Ambetter facility · fee schedule · outpatient · +6 other terms | 34 | $1.5k | $1.5k | $252 | 17% | — | $703 – $1.8k |
| 16 | Optum fee schedule · outpatient · +3 other terms | 33 | $847 | $1.1k | $565 | 49% | — | $717 – $2.4k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 29 | $717 | $808 | $260 | 32% | — | $392 – $1.3k |
| 18 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $917 | $857 | $102 | 12% | — | $639 – $934 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $860 | $839 | $41 | 5% | — | $731 – $860 |
| 20 | Bcbs Tx fee schedule · outpatient | 18 | $931 | $931 | — | — | — | $931 – $931 |
| 21 | Medicare fee schedule · outpatient · +3 other terms | 18 | $847 | $850 | $7 | 1% | — | $847 – $864 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $831 | $957 | $237 | 25% | — | $453 – $1.3k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $756 | $756 | $176 | 23% | — | $368 – $886 |
| 24 | Wellmark fee schedule · both · +3 other terms | 13 | $789 | $784 | $30 | 4% | — | $605 – $789 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $447 | $554 | $126 | 23% | — | $447 – $703 |
← Hospitals reporting HCPCS L6704 · Snapshot 20261112T181611Z-3fa9fb76