Low
$98
Average
$176
Median
$166
High
$274
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +1 other terms | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 2 | Excellus facility · case rate · outpatient | 1 | $274 | $274 | $176 | 64% | — | $98 – $450 |
| 3 | UnitedHealthcare facility · case rate · outpatient | 1 | $188 | $188 | $87 | 46% | — | $101 – $275 |
| 4 | WellCare facility · case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
← Hospitals reporting CPT 97167-GO · Snapshot 20261110T202143Z-6f619f9d