Payer comparison · CPT 93654 · SEATTLE, WA

93654 — Compre Ep Eval Tx Vt

What each payer pays SEATTLE CHILDREN'S HOSPITAL (CCN 503300) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$112,007 All-payer median here

$131,773 Cash / self-pay here

75 payer/plan-name variants

← This hospital National rates for 93654 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

First Health Network	$126,502	12.9%	4
ALTIUS HEALTH PLANS	$126,502	12.9%	1
HCC Medical Insurance Services	$126,502	12.9%	1
RURAL CARRIER BENEFIT PLAN [12271]	$126,502	12.9%	1
PacificSource	$126,502	12.9%	1
LEWERMARK [12286]	$126,502	12.9%	1
Christian Care Ministries (MediShare)	$126,502	12.9%	1
Medical Mutual of Ohio	$125,184	11.8%	1
Humana	$125,184	11.8%	1
SelectHealth	$125,184	11.8%	1
Employee Benefit Services d/b/a Key Benefit Administrators	$125,184	11.8%	1
PHCS (Private Healthcare Systems)	$125,184	11.8%	1
PEHP (Public Employees Health Program)	$125,184	11.8%	1
NIPPON LIFE INSURANCE [12232]	$125,184	11.8%	1
PreferredOne Admin Services	$125,184	11.8%	1
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS	$118,596	5.9%	2
COASTAL ADMIN SVCS CONTRACTED [12222]	$118,596	5.9%	1
Zenith American Solutions	$112,007	0.0%	1
ALLEGIANCE BENEFIT PLAN MANAGEMENT	$112,007	0.0%	1
ALLIED [13129]	$112,007	0.0%	1
ASSURANT HEALTH	$112,007	0.0%	1
CARPENTERS TRUST [13100]	$112,007	0.0%	1
Cigna Healthcare	$112,007	0.0%	2
COASTAL ADMINISTRATIVE [13140]	$112,007	0.0%	1
EMPLOYEE BENEFIT MANAGEMENT SERVICES (EBMS)	$112,007	0.0%	3
First Choice Health	$112,007	0.0%	1
GUARDIAN FC [13105]	$112,007	0.0%	1
ILWU-PMA Welfare Plan	$112,007	0.0%	1
KPS [13109]	$112,007	0.0%	1
LOOMIS BENEFITS WEST [13161]	$112,007	0.0%	1
MEGA Life and Health Insurance Company	$112,007	0.0%	1
Meritain Health	$112,007	0.0%	3
MODA HEALTH - ODS MEDICAL	$112,007	0.0%	3
MYERS STEVENS & TOOHEY [13169]	$112,007	0.0%	1
PACIFIC UNDERWRITERS CORP	$112,007	0.0%	1
Personify Health	$112,007	0.0%	3
PRINCIPAL MUTUAL FC [13115]	$112,007	0.0%	1
Providence Health & Services	$112,007	0.0%	2
Puget Sound Electrical Workers Trust, Group # F33	$112,007	0.0%	1
REHN AND ASSOCIATES	$112,007	0.0%	1
SOUND HEALTH & WELLNESS TRUST	$112,007	0.0%	1
STARMARK	$112,007	0.0%	1
Tongass Timber Trust	$112,007	0.0%	1
TRUSTEED PLANS SERVICE CORPORATION	$112,007	0.0%	1
TRUSTMARK INSURANCE	$112,007	0.0%	1
Tufts Health Plan	$112,007	0.0%	1
WELFARE PENSION [13120]	$112,007	0.0%	1
WSHIP [13121]	$112,007	0.0%	1
ZENITH [13123]	$112,007	0.0%	1
WebTPA Employer Services LLC	$110,689	-1.2%	1
PREFERRED ONE [11008]	$110,689	-1.2%	1
Christian Brothers Services	$110,689	-1.2%	1
CoreSource AZ/MN/MD/PA/IL/NC/IN	$110,689	-1.2%	1
Aetna	$110,689	-1.2%	1
AMERIBEN SOLUTIONS, INC.	$110,689	-1.2%	1
BLUECROSS/SHIELD [11902]	$109,372	-2.4%	1
UMR (UnitedHealthcare TPA)	$105,418	-5.9%	2
ADMINISTRATORS [13102]	$105,418	-5.9%	3
UnitedHealthcare	$98,830	-11.8%	7
Premera BCBS	$89,606	-20.0%	5
Kaiser Permanente	$85,653	-23.5%	5
United Behavioral Health (Optum)	$79,399	-29.1%	2
Community Health Plan of Washington	$72,475	-35.3%	1
Coordinated Care (Centene WA Medicaid)	$72,475	-35.3%	3
Regence BCBS	$71,157	-36.5%	7
Molina Healthcare	$66,350	-40.8%	2
US Family Health Plan	$54,027	-51.8%	1
Anthem (Elevance Health)	$34,867	-68.9%	2
Opticare of Utah	$34,867	-68.9%	1
EYEQUEST	$34,867	-68.9%	1
CHPW [15802]	$34,203	-69.5%	1
CHILD HEARING LEAGUE [17301]	$33,207	-70.4%	1
Medicaid (Generic)	$33,207	-70.4%	1
MAPLE LANE SCHOOL [17309]	$33,207	-70.4%	1
HOSPICE [17306]	$33,207	-70.4%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.