8 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.
Filter by billing methodology
Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 2 | $39.00 | $49.33 | $8.00 – $70.00 |
| 2 | Cigna percent of total billed charges · outpatientfrom % of charges | 2 | $37.00 | $37.00 | $8.00 – $66.00 |
| 3 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $5.50 | $5.50 | $5.00 – $6.00 |
| 4 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $64.67 | $64.67 | $49.00 – $74.00 |
| 5 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $82.00 | $82.00 | $82.00 – $82.00 |
| 6 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $74.00 | $74.00 | $74.00 – $74.00 |
| 7 | Superior Healthplan fee schedule · outpatient | 1 | $69.50 | $69.50 | $58.00 – $81.00 |
| 8 | UnitedHealthcare facility · case rate · outpatient | 1 | $4,344 | $4,344 | $4,344 – $4,344 |
← Hospitals reporting CPT 51704 · Snapshot 20261109T115250Z-6452cf6e