Low
$48
Average
$106
Median
$107
High
$162
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +1 other terms | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Excellus facility · case rate · outpatient | 1 | $135 | $135 | $87 | 64% | — | $48 – $222 |
| 3 | UnitedHealthcare facility · case rate · outpatient | 1 | $162 | $162 | $113 | 69% | — | $50 – $275 |
| 4 | WellCare facility · case rate · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
← Hospitals reporting CPT 97763-GO · Snapshot 20261110T202143Z-6f619f9d