go back

Washington rates for HCPCS 91200

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

Facilitymedian $23 · 10th–90th $14$390%10%20%10th90th$23Professionalmedian $33 · 10th–90th $13$1120%5%10th90th$33$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$14.13 / $23.44 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $43.65 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.49 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.91 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $66.07 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $60.26 / $87.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $20.89 / $30.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $38.90 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $56.23 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $19.50 / $34.67
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $35.48 / $67.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.14 / $22.91 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $61.66 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $22.39 / $30.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $39.81 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $33.11
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $39.81
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $60.26 / $89.13
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.13 / $21.88 / $30.20
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $39.81 / $58.88
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $60.26 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $20.42 / $29.51
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $38.90 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $56.23 / $93.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $21.38 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $34.67 / $58.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $40.74 / $75.86
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $12.88 / $23.44
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $27.54 / $52.48