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Utah rates for HCPCS 95930

Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report

Facilitymedian $151 · 10th–90th $20$7410%20%10th90th$151Professionalmedian $62 · 10th–90th $18$1510%5%10th90th$62$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $19.50 / $57.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $61.66 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $141.25 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $25.12 / $40.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $112.20 / $177.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $147.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $616.60 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $91.20 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $25.70 / $51.29
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $66.07 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $107.15 / $162.18
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $29.51 / $45.71
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$46.77 / $75.86 / $112.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $70.79 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $20.89 / $31.62
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $83.18 / $169.82