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Nationwide rates for HCPCS C8904

C code valid for UB claims onl

Rates data updated October 2026.

How much does HCPCS C8904 cost?

$1,318

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $309 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$676 to $1,318
FacilityA hospital or hospital-owned outpatient department$309$309 to $891

How much rates vary

Facilitymedian $309 · 10th to 90th $85 to $2,089Professionalmedian $1,318 · 10th to 90th $30 to $1,318
$50$100$200$500$1K$2Kfacility $309professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$309.03
Typical High
$1,071.52
Health Smart
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$407.38
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Moda Health
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Moda Health
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$1,318.26

What it costs in each state

The same service costs 43.7 times more in Missouri than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Touch or drag across the chart to see any state's rate.

MO $1,318SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.