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Texas rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $76 · 10th–90th $19$1480%5%10th90th$76Professionalmedian $17 · 10th–90th $11$320%20%10th90th$17$2.0$10.0$50.0$200.0

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
$19.50 / $85.11 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $17.38 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.48 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $66.07 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.72 / $12.02
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $30.90 / $112.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.50 / $30.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $40.74 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $33.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.18 / $32.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $24.55 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.38 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $16.22
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $467.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $56.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $19.50 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $26.92
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.00 / $19.50