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
Brachy linear, non-str,P-103
Low
$25
Average
$220
Median
$98
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 12.6× 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 · +9 other terms | 248 | $87 | $133 | $474 | 357% | — | $0 – $4.5k |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 245 | $67 | $218 | $601 | 275% | — | $9 – $4.5k |
| 3 | Humana fee schedule · outpatient · +7 other terms | 195 | $58 | $141 | $580 | 410% | — | $0 – $4.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 166 | $129 | $147 | $75 | 51% | — | $0 – $458 |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 108 | $88 | $103 | $76 | 74% | — | $50 – $453 |
| 6 | WellCare fee schedule · outpatient · +3 other terms | 105 | $59 | $153 | $324 | 211% | — | $50 – $1.5k |
| 7 | Molina fee schedule · outpatient · +6 other terms | 90 | $101 | $420 | $828 | 197% | — | $21 – $3.9k |
| 8 | Anthem fee schedule · outpatient · +6 other terms | 69 | $88 | $509 | $1.1k | 206% | — | $27 – $4.5k |
| 9 | Kaiser fee schedule · outpatient · +6 other terms | 58 | $91 | $129 | $78 | 60% | — | $53 – $408 |
| 10 | Devoted fee schedule · outpatient · +2 other terms | 54 | $58 | $71 | $15 | 22% | — | $53 – $96 |
| 11 | Ambetter facility · fee schedule · outpatient · +3 other terms | 41 | $127 | $126 | $24 | 19% | — | $53 – $161 |
| 12 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $153 | $155 | $65 | 42% | — | $50 – $282 |
| 13 | Optum fee schedule · outpatient · +2 other terms | 31 | $88 | $120 | $66 | 55% | — | $53 – $323 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 29 | $59 | $70 | $15 | 21% | — | $54 – $92 |
| 15 | Medicare fee schedule · outpatient · +1 other terms | 24 | $88 | $86 | $7 | 8% | — | $51 – $88 |
| 16 | Caresource facility · case rate · outpatient · +7 other terms | 23 | $2.4k | $1.5k | $1.4k | 89% | — | $27 – $4.3k |
| 17 | Regence facility · fee schedule · outpatient · +1 other terms | 21 | $93 | $99 | $38 | 38% | — | $45 – $206 |
| 18 | Highmark fee schedule · outpatient · +3 other terms | 16 | $76 | $108 | $320 | 296% | — | $24 – $3.9k |
| 19 | Oscar facility · fee schedule · outpatient · +4 other terms | 16 | $118 | $104 | $28 | 27% | — | $53 – $134 |
| 20 | Tricare fee schedule · outpatient · +2 other terms | 16 | $82 | $76 | $13 | 18% | — | $54 – $89 |
| 21 | MultiPlan fee schedule · outpatient · +4 other terms | 15 | $91 | $90 | $7 | 8% | — | $53 – $91 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 14 | $89 | $90 | $14 | 15% | — | $53 – $127 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $636 | $456 | $441 | 97% | — | $53 – $1.0k |
| 24 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $0 | $22 | $26 | 116% | — | $0 – $53 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $59 | $125 | $84 | 67% | — | $58 – $256 |
← Hospitals reporting HCPCS C2636 · Snapshot 20261112T181611Z-3fa9fb76