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Lupus Autoantibody Risk Score

Pennsylvania rates for HCPCS 0062U

Helps assess whether a person's symptoms reflect systemic lupus erythematosus, an autoimmune disease. It reads 80 markers in blood serum across two antibody classes and combines them into a single risk score rather than reporting each marker separately.

Rates data updated July 2026.

How much does Lupus Autoantibody Risk Score cost?

$324

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $589 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$309$251 to $324
FacilityA hospital or hospital-owned outpatient department$589$380 to $759

How much rates vary

Facilitymedian $589 · 10th to 90th $324 to $1,288Professionalmedian $309 · 10th to 90th $200 to $417
$200$500$1Kfacility $589professional $309

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$741.31
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$323.59
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$549.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$549.54
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$660.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$1,348.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$954.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$933.25
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$575.44

Where Pennsylvania sits

The same service costs 3.0 times more in South Dakota than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 39th of 51

$324

SD $724FL $245

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.