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
Mirror coating
Low
$0
Average
$27
Median
$18
High
$161
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 7.1× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +5 other terms | 71 | $37 | $60 | $38 | 64% | — | $9 – $109 |
| 2 | UnitedHealthcare fee schedule · both · +8 other terms | 26 | $7 | $13 | $8 | 62% | — | $6 – $31 |
| 3 | Aetna fee schedule · outpatient · +10 other terms | 19 | $11 | $20 | $19 | 98% | — | $7 – $79 |
| 4 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 6 | Cigna fee schedule · both · +6 other terms | 15 | $19 | $18 | $3 | 15% | — | $10 – $19 |
| 7 | Molina facility · case rate · outpatient · +1 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 8 | Wellmark fee schedule · both | 13 | $50 | $50 | — | — | — | $50 – $50 |
| 9 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 12 | $34 | $59 | $51 | 87% | — | $33 – $185 |
| 10 | Optum facility · case rate · outpatient · +2 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 11 | Medica fee schedule · outpatient · +4 other terms | 10 | $22 | $23 | $6 | 26% | — | $14 – $29 |
| 12 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | First Health professional · fee schedule · both | 3 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Highmark professional · fee schedule · both | 3 | $49 | $49 | — | — | — | $49 – $49 |
| 15 | Amerihealth Caritas professional · fee schedule · outpatient | 2 | $10 | $10 | $0 | 0% | — | $10 – $10 |
| 16 | Kaiser fee schedule · both | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Bcbs Ca percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Nc facility · fee schedule · outpatient | 1 | $11 | $11 | $1 | 5% | — | $11 – $12 |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 21 | Healthpartners facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 22 | MultiPlan fee schedule · both · +5 other terms | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 24 | Phcs professional · fee schedule · both · +2 other terms | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Hospitals reporting HCPCS V2761 · Snapshot 20261112T181611Z-3fa9fb76