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
PHOTOGRAPH OF ENTIRE BODY
Low
$0
Average
$250
Median
$138
High
$1.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 7.2× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 148 | $203 | $209 | $104 | 50% | — | $0 – $455 |
| 2 | Humana fee schedule · outpatient · +23 other terms | 137 | $117 | $326 | $841 | 258% | — | $1 – $8.3k |
| 3 | UnitedHealthcare fee schedule · outpatient · +23 other terms | 91 | $68 | $96 | $60 | 62% | — | $1 – $339 |
| 4 | Aetna fee schedule · outpatient · +21 other terms | 86 | $68 | $478 | $1.4k | 297% | — | $1 – $8.4k |
| 5 | Anthem fee schedule · outpatient · +15 other terms | 63 | $71 | $175 | $179 | 103% | — | $56 – $835 |
| 6 | Cigna fee schedule · outpatient · +19 other terms | 46 | $71 | $1.6k | $3.8k | 239% | — | $57 – $11.1k |
| 7 | Molina professional · fee schedule · outpatient · +16 other terms | 31 | $66 | $65 | $4 | 6% | — | $46 – $85 |
| 8 | Bcbs Tx fee schedule · outpatient · +2 other terms | 30 | $261 | $239 | $88 | 37% | — | $77 – $441 |
| 9 | Kaiser fee schedule · outpatient · +12 other terms | 28 | $68 | $84 | $38 | 45% | — | $57 – $207 |
| 10 | WellCare professional · fee schedule · outpatient · +11 other terms | 22 | $60 | $62 | $6 | 9% | — | $46 – $77 |
| 11 | Devoted fee schedule · outpatient · +6 other terms | 21 | $68 | $67 | $1 | 2% | — | $62 – $68 |
| 12 | Regence professional · fee schedule · outpatient · +6 other terms | 21 | $66 | $72 | $20 | 28% | — | $66 – $174 |
| 13 | Caresource facility · case rate · outpatient · +9 other terms | 20 | $354 | $314 | $159 | 51% | — | $59 – $635 |
| 14 | Medicare fee schedule · outpatient · +6 other terms | 18 | $66 | $63 | $4 | 6% | — | $57 – $68 |
| 15 | Highmark fee schedule · outpatient · +6 other terms | 13 | $75 | $79 | $23 | 30% | — | $27 – $245 |
| 16 | Wellmark fee schedule · both · +2 other terms | 13 | $94 | $94 | $21 | 23% | — | $60 – $117 |
| 17 | Aetna Better Health fee schedule · outpatient · +5 other terms | 12 | $66 | $62 | $5 | 8% | — | $56 – $66 |
| 18 | Ambetter fee schedule · both · +9 other terms | 12 | $77 | $101 | $13 | 13% | — | $59 – $111 |
| 19 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $289 | $184 | $160 | 87% | — | $0 – $361 |
| 20 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $60 | $60 | $1 | 1% | — | $60 – $63 |
| 21 | Medica fee schedule · outpatient · +9 other terms | 12 | $244 | $235 | $77 | 33% | — | $61 – $323 |
| 22 | MultiPlan fee schedule · both · +13 other terms | 12 | $128 | $132 | $24 | 18% | — | $117 – $211 |
| 23 | Optum facility · case rate · outpatient · +8 other terms | 12 | $339 | $333 | $136 | 41% | — | $70 – $564 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 10 | $60 | $74 | $16 | 21% | — | $60 – $95 |
| 25 | Oscar fee schedule · outpatient · +8 other terms | 10 | $47 | $53 | $48 | 90% | — | $1 – $115 |
← Hospitals reporting CPT 96904 · Snapshot 20261113T090226Z-3ce6c0b8