go back

Minnesota rates for HCPCS 91200

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

Facilitymedian $33 · 10th–90th $11$760%10%10th90th$33Professionalmedian $36 · 10th–90th $14$950%5%10th90th$36$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
26
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $14.13 / $40.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $54.95
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $9.55 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $109.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $26.30 / $37.15
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $54.95 / $72.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $37.15 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $79.43 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $27.54 / $43.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $52.48 / $85.11
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $36.31 / $70.79
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $75.86 / $117.49
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.70 / $39.81
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $51.29 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $69.18 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $25.70 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $43.65 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $117.49
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $21.88 / $42.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $40.74 / $75.86