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Hawaii rates for HCPCS 95921

Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratio

Facilitymedian $45 · 10th–90th $39$540%20%40%10th90th$45Professionalmedian $59 · 10th–90th $38$1200%10%10th90th$59$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $44.67 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $44.67 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $43.65 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $107.15 / $151.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $54.95 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $51.29 / $72.44
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $69.18 / $141.25
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $60.26 / $61.66
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $75.86 / $79.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $117.49 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $54.95 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$57.54 / $63.10 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $95.50 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $53.70 / $72.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $48.98 / $70.79
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $123.03
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $52.48 / $58.88
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $51.29 / $64.57