go back

Washington rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $66 · 10th–90th $19$1380%5%10%10th90th$66Professionalmedian $17 · 10th–90th $14$320%20%40%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0

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 / $72.44 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $35.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $28.84 / $38.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $20.42 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $38.90
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $33.88 / $53.70
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $23.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $51.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $23.44 / $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
$8.71 / $10.00 / $34.67