6 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.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 3 | $110.00 | $129.00 | $104.00 – $173.00 |
| 2 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 2 | $144.75 | $158.40 | $68.00 – $213.00 |
| 3 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $158.00 | $158.00 | $158.00 – $158.00 |
| 4 | Cigna fee schedule · outpatient · +1 other terms | 1 | $101.00 | $101.00 | $101.00 – $101.00 |
| 5 | Superior Healthplan fee schedule · outpatient · +1 other terms | 1 | $157.00 | $157.00 | $157.00 – $157.00 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $4,344 | $4,344 | $4,344 – $4,344 |
← Hospitals reporting CPT 64047 · Snapshot 20261108T055240Z-43b7dac7