go back

Maryland rates for HCPCS 91200

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

Facilitymedian $17 · 10th–90th $17$170%50%100%$17Professionalmedian $28 · 10th–90th $11$780%5%10th90th$28$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $15.14 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.91 / $50.12
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $30.90 / $33.88
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.96 / $14.45
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $20.89 / $26.30
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $72.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $15.85 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $26.92 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $12.59 / $17.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $27.54 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $42.66 / $77.62
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $15.85 / $27.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $27.54 / $48.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $52.48
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $12.02 / $16.60
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $26.92 / $36.31