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Utah rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Facilitymedian $62 · 10th–90th $62$620%50%$62Professionalmedian $178 · 10th–90th $50$3720%5%10%10th90th$178$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $223.87 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $56.23 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $169.82 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $275.42 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $64.57 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $194.98 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $501.19
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $85.11 / $123.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $263.03 / $371.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $407.38
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $81.28 / $123.03
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $229.09 / $263.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $213.80 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $208.93 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $51.29 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $162.18 / $302.00