go back

Washington rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $49 · 10th–90th $13$1290%10%10th90th$49Professionalmedian $12 · 10th–90th $10$210%50%10th90th$12$1.0$5.0$20.0$100.0$500.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $52.48 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.12 / $24.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.50 / $26.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $29.51 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.80 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $26.92
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $22.91 / $36.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $15.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.95 / $34.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $16.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.76 / $23.99