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
Talymed
Low
$33
Average
$227
Median
$123
High
$2.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
51 payers; the 90th percentile is 4.8× 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 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 433 | $169 | $173 | $98 | 56% | — | $1 – $613 |
| 2 | Cigna fee schedule · outpatient · +12 other terms | 285 | $129 | $194 | $135 | 69% | — | $55 – $644 |
| 3 | Aetna fee schedule · outpatient · +15 other terms | 254 | $131 | $147 | $80 | 55% | — | $68 – $818 |
| 4 | Humana fee schedule · outpatient · +11 other terms | 186 | $116 | $294 | $903 | 308% | — | $1 – $8.3k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 164 | $125 | $143 | $101 | 71% | — | $0 – $582 |
| 6 | Molina fee schedule · outpatient · +8 other terms | 83 | $167 | $228 | $348 | 153% | — | $1 – $3.4k |
| 7 | Caresource fee schedule · outpatient · +3 other terms | 62 | $100 | $94 | $51 | 54% | — | $1 – $213 |
| 8 | Anthem facility · fee schedule · outpatient · +8 other terms | 57 | $160 | $157 | $142 | 90% | — | $18 – $1.2k |
| 9 | WellCare fee schedule · outpatient · +9 other terms | 50 | $135 | $130 | $24 | 19% | — | $68 – $171 |
| 10 | Ambetter fee schedule · outpatient · +5 other terms | 42 | $234 | $227 | $57 | 25% | — | $65 – $351 |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 42 | $207 | $267 | $181 | 68% | — | $125 – $1000 |
| 12 | Devoted fee schedule · outpatient · +3 other terms | 36 | $125 | $125 | $8 | 6% | — | $116 – $139 |
| 13 | Optum fee schedule · outpatient · +3 other terms | 32 | $125 | $173 | $91 | 53% | — | $113 – $459 |
| 14 | Regence professional · fee schedule · outpatient · +4 other terms | 21 | $77 | $81 | $16 | 19% | — | $77 – $153 |
| 15 | Healthpartners fee schedule · outpatient · +1 other terms | 19 | $82 | $83 | $8 | 10% | — | $80 – $131 |
| 16 | Oscar facility · fee schedule · outpatient · +4 other terms | 19 | $182 | $163 | $55 | 34% | — | $85 – $234 |
| 17 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 18 | $142 | $173 | $74 | 43% | — | $64 – $468 |
| 18 | Medicare fee schedule · outpatient · +2 other terms | 18 | $125 | $125 | — | — | — | $125 – $125 |
| 19 | Clover facility · fee schedule · outpatient · +2 other terms | 16 | $127 | $126 | $7 | 5% | — | $115 – $134 |
| 20 | Highmark fee schedule · outpatient · +5 other terms | 16 | $85 | $138 | $339 | 245% | — | $51 – $3.4k |
| 21 | Wellmark fee schedule · both · +2 other terms | 14 | $68 | $67 | $8 | 13% | — | $15 – $68 |
| 22 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.2k | $793 | $680 | 86% | — | $1 – $1.5k |
| 23 | Aetna Better Health fee schedule · outpatient · +4 other terms | 11 | $49 | $62 | $17 | 27% | — | $49 – $85 |
| 24 | Bcbs Nj fee schedule · outpatient | 11 | $69 | $69 | $1 | 2% | — | $68 – $71 |
| 25 | Tricare fee schedule · outpatient · +2 other terms | 11 | $113 | $118 | $10 | 8% | — | $113 – $148 |
← Hospitals reporting HCPCS Q4127 · Snapshot 20261112T181611Z-3fa9fb76