go back

Texas rates for HCPCS 86653

Antibody; encephalitis, St. Louis

Facilitymedian $26 · 10th–90th $10$710%5%10th90th$26Professionalmedian $10 · 10th–90th $6$160%10%20%10th90th$10$2.0$5.0$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $24.55 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $42.66 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $12.59
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $28.84 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $22.39
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $120.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $39.81
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $39.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.76 / $9.12