go back

Utah 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

Professionalmedian $85 · 10th–90th $28$1510%10%10th90th$85$20.0$50.0$100.0$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
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $81.28 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $29.51 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $102.33 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.20 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $190.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $154.88 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $112.20 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $38.02 / $51.29
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $173.78
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $107.15 / $125.89
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $39.81 / $45.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $97.72 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $77.62 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $24.55 / $40.74