HC EAR IMPRESSION EA H&B

Payers reporting HCPCS V5275

Payer pricing summary

Low

Average

$40

Median

$41

High

$123

Payer rate distribution

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Filter by billing class

#
1	Superior Healthplan other · outpatient	1	$24	$24	—	—	27	$24 – $24
2	Aetna fee schedule · outpatient · +17 other terms	33	$51	$68	$52	77%	—	$8 – $201
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +14 other terms	24	$34	$83	$55	67%	—	$12 – $136
4	UnitedHealthcare fee schedule · outpatient · +20 other terms	23	$186	$127	$72	56%	—	$7 – $186
5	Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges · +3 other terms	17	$19	$34	$14	40%	—	$17 – $49
6	Anthem facility · case rate · outpatient · +13 other terms	15	$10	$11	$3	23%	—	$7 – $17
7	Caresource facility · case rate · outpatient · +6 other terms	15	$10	$11	$3	23%	—	$7 – $17
8	Molina facility · case rate · outpatient · +13 other terms	15	$10	$11	$3	23%	—	$7 – $17
9	Cigna fee schedule · outpatient · +15 other terms	14	$7	$26	$21	80%	—	$5 – $57
10	Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	14	$19	$29	$14	48%	—	$19 – $49
11	Oscar professional · percent of total billed charges · outpatientfrom % of charges · +5 other terms	13	$19	$25	$11	44%	—	$17 – $48
12	Wellmark fee schedule · both · +8 other terms	13	$50	$50	—	—	—	$50 – $50
13	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$15	$14	$5	32%	—	$8 – $18
14	Optum facility · case rate · outpatient · +11 other terms	11	$10	$10	$2	22%	—	$9 – $15
15	Highmark fee schedule · outpatient · +8 other terms	10	$39	$39	—	—	—	$39 – $39
16	Medica fee schedule · both · +8 other terms	10	$12	$14	$4	29%	—	$12 – $25
17	Ucare fee schedule · both · +9 other terms	10	$13	$13	$2	17%	—	$12 – $25
18	First Health professional · fee schedule · both · +11 other terms	8	$0	$11	$14	129%	—	$0 – $29
19	Humana fee schedule · outpatient · +14 other terms	8	$26	$47	$24	51%	—	$26 – $80
20	WellCare professional · fee schedule · both · +6 other terms	8	$0	$0	—	—	—	$0 – $0
21	Aetna Better Health fee schedule · inpatient · +9 other terms	7	$27	$27	—	—	—	$27 – $27
22	Bcbs Il professional · fee schedule · both · +2 other terms	7	$0	$0	—	—	—	$0 – $0
23	Bcbs Id percent of total billed charges · bothfrom % of charges	5	$65	$67	$46	69%	—	$20 – $132
24	Ambetter professional · fee schedule · both · +3 other terms	3	$0	$0	—	—	—	$0 – $0
25	Amerihealth Caritas professional · fee schedule · outpatient · +4 other terms	3	$32	$32	$1	2%	—	$32 – $33

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← Hospitals reporting HCPCS V5275 · Snapshot 20261111T120946Z-9134e7f7