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
Photodynamic Therapy
Low
$129
Average
$558
Median
$329
High
$7.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +26 other terms | 394 | $215 | $399 | $832 | 209% | — | $20 – $8.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 390 | $224 | $971 | $1.5k | 154% | — | $1 – $10.5k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 312 | $390 | $518 | $375 | 72% | — | $1 – $4.1k |
| 4 | Humana fee schedule · outpatient · +21 other terms | 297 | $203 | $490 | $703 | 143% | — | $161 – $4.3k |
| 5 | Cigna fee schedule · outpatient · +19 other terms | 155 | $219 | $299 | $174 | 58% | — | $181 – $1.0k |
| 6 | Molina fee schedule · outpatient · +21 other terms | 131 | $208 | $274 | $136 | 49% | — | $111 – $915 |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 130 | $202 | $371 | $688 | 186% | — | $181 – $4.3k |
| 8 | Anthem fee schedule · outpatient · +17 other terms | 94 | $447 | $549 | $566 | 103% | — | $178 – $2.8k |
| 9 | Devoted fee schedule · outpatient · +10 other terms | 68 | $212 | $206 | $12 | 6% | — | $187 – $224 |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 67 | $335 | $557 | $792 | 142% | — | $180 – $4.3k |
| 11 | Ambetter facility · fee schedule · outpatient · +12 other terms | 54 | $342 | $471 | $909 | 193% | — | $189 – $7.1k |
| 12 | Optum fee schedule · outpatient · +15 other terms | 52 | $194 | $245 | $122 | 50% | — | $181 – $741 |
| 13 | Oscar fee schedule · outpatient · +16 other terms | 48 | $376 | $317 | $153 | 48% | — | $1 – $573 |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $611 | $578 | $265 | 46% | — | $187 – $1.2k |
| 15 | Clover fee schedule · outpatient · +8 other terms | 31 | $222 | $773 | $1.4k | 176% | — | $181 – $4.3k |
| 16 | Caresource facility · fee schedule · outpatient · +9 other terms | 27 | $309 | $664 | $1.5k | 233% | — | $158 – $7.9k |
| 17 | Highmark facility · fee schedule · outpatient · +10 other terms | 26 | $231 | $303 | $202 | 67% | — | $117 – $815 |
| 18 | Medicare fee schedule · outpatient · +11 other terms | 26 | $219 | $762 | $1.3k | 170% | — | $176 – $4.1k |
| 19 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $468 | $457 | $148 | 32% | — | $132 – $732 |
| 20 | Regence professional · fee schedule · outpatient · +9 other terms | 21 | $218 | $237 | $65 | 27% | — | $218 – $573 |
| 21 | Tricare other · outpatient · +11 other terms | 20 | $182 | $164 | $46 | 28% | — | $72 – $207 |
| 22 | Aetna Better Health facility · fee schedule · outpatient · +13 other terms | 19 | $151 | $146 | $22 | 15% | — | $109 – $207 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +6 other terms | 15 | $192 | $543 | $1.3k | 237% | — | $103 – $6.0k |
| 24 | MultiPlan fee schedule · outpatient · +13 other terms | 15 | $321 | $316 | $25 | 8% | — | $187 – $321 |
| 25 | Ucare case rate · outpatient · +10 other terms | 15 | $209 | $206 | $4 | 2% | — | $199 – $209 |
← Hospitals reporting CPT 96573 · Snapshot 20261112T181611Z-3fa9fb76