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New Hampshire rates for HCPCS 92540

Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording

Facilitymedian $60 · 10th–90th $41$910%20%40%10th90th$60Professionalmedian $83 · 10th–90th $26$1620%10%10th90th$83$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
$93.33 / $107.15 / $251.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $79.43 / $120.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.84 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $154.88 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $112.20 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $41.69 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $134.90 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $100.00 / $177.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $31.62 / $75.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $125.89 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $89.13 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $35.48 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $257.04
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $91.20 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $32.36 / $70.79
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $60.26 / $91.20
Well Sense
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $95.50
Well Sense
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $57.54 / $66.07
Well Sense
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $25.12 / $29.51