go back

Arizona rates for HCPCS 91200

Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report

Facilitymedian $24 · 10th–90th $3$710%20%40%10th90th$24Professionalmedian $28 · 10th–90th $11$870%5%10th90th$28$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $15.14 / $60.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $32.36 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $9.12 / $10.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $134.90
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $11.22 / $45.71
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $89.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.51 / $11.75 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $15.85 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.70 / $54.95
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $70.79 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $44.67 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $17.78 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $26.92 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $66.07
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $15.49 / $25.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $23.99 / $41.69