Low
$30
Average
$83
Median
$74
High
$153
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +1 other terms | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Excellus facility · case rate · outpatient | 1 | $84 | $84 | $54 | 64% | — | $30 – $139 |
| 3 | UnitedHealthcare facility · case rate · outpatient | 1 | $153 | $153 | $122 | 80% | — | $31 – $275 |
| 4 | WellCare facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
← Hospitals reporting CPT 97542-GO · Snapshot 20261110T202143Z-6f619f9d