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Wisconsin 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 $240 · 10th–90th $178$4070%20%10th90th$240Professionalmedian $93 · 10th–90th $29$3090%5%10%10th90th$93$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
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $81.28 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $30.90 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $213.80 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $151.36 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $52.48 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $239.88 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $245.47 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $181.97 / $229.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $67.61 / $91.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $223.87 / $295.12
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $213.80
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $53.70 / $81.28
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $346.74 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $141.25 / $478.63
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $107.15 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $32.36 / $107.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $269.15
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $109.65 / $199.53
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $42.66 / $74.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $223.87 / $338.84
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $489.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $524.81 / $707.95
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $398.11 / $489.78
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $165.96 / $213.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $549.54 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $186.21 / $223.87
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $53.70 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $181.97 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $134.90 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $48.98 / $117.49