RC 420

Physical therapy session

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Atc Evaluation

Payers reporting RC 420

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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#
1	UnitedHealthcare fee schedule · outpatient · +40 other terms	348	$70.37	$144.04	$0.01 – $8,079
2	Aetna facility · fee schedule · outpatient · +39 other terms	331	$55.24	$79.38	$0.01 – $7,584
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +32 other terms	260	$72.89	$145.43	$0.01 – $13,117
4	Humana facility · fee schedule · outpatient · +33 other terms	241	$56.11	$68.05	$0.01 – $9,756
5	Cigna case rate · outpatient · +36 other terms	198	$228.83	$279.09	$0.40 – $14,930
6	Anthem fee schedule · outpatient · +36 other terms	132	$72.75	$150.28	$0.01 – $2,866
7	WellCare fee schedule · outpatient · +25 other terms	120	$42.60	$56.66	$1.00 – $1,189
8	Molina fee schedule · outpatient · +31 other terms	113	$52.83	$61.87	$0.01 – $5,838
9	MultiPlan fee schedule · outpatient · +23 other terms	109	$182.76	$202.97	$0.01 – $5,753
10	Tricare facility · fee schedule · outpatient · +17 other terms	108	$44.78	$57.88	$0.01 – $1,092
11	Devoted facility · fee schedule · outpatient · +19 other terms	100	$48.98	$54.33	$0.01 – $1,645
12	Kaiser fee schedule · outpatient · +24 other terms	85	$119.86	$115.83	$0.52 – $7,349
13	Ambetter facility · fee schedule · outpatient · +24 other terms	75	$87.63	$90.45	$0.01 – $879.44
14	Highmark facility · fee schedule · outpatient · +20 other terms	75	$88.22	$133.12	$4.12 – $13,117
15	Medicaid facility · fee schedule · outpatient · +18 other terms	62	$45.48	$69.48	$3.31 – $1,088
16	Medicare facility · fee schedule · outpatient · +20 other terms	60	$43.11	$60.72	$0.01 – $586.32
17	Optum fee schedule · outpatient · +24 other terms	56	$29.01	$65.18	$1.00 – $1,043
18	Amerihealth Caritas facility · fee schedule · outpatient · +14 other terms	49	$23.89	$63.57	$4.89 – $2,209
19	Caresource facility · fee schedule · outpatient · +23 other terms	46	$77.13	$114.97	$0.01 – $26,103
20	Medica facility · fee schedule · outpatient · +23 other terms	44	$25.19	$61.07	$4.64 – $1,999
21	Aetna Better Health fee schedule · outpatient · +20 other terms	43	$27.19	$48.58	$1.02 – $953.72
22	Healthcare Highways case rate · outpatient · +5 other terms	43	$219.00	$256.02	$211.00 – $364.00
23	First Health fee schedule · outpatient · +22 other terms	38	$226.80	$202.45	$0.65 – $4,986
24	Superior Healthplan facility · fee schedule · outpatient · +12 other terms	33	$160.96	$111.19	$5.24 – $490.52
25	Wellmark facility · fee schedule · both · +16 other terms	31	$55.28	$84.11	$4.98 – $2,323

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