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Plasma Chemistry Pattern In Autism Assessment

Montana rates for HCPCS 0063U

Supports assessment of autism spectrum disorder by looking at body chemistry rather than genes. It measures 32 amine-related substances in blood plasma and reports a classification based on the overall pattern, not on the individual values.

Rates data updated July 2026.

How much does Plasma Chemistry Pattern In Autism Assessment cost?

$933

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $977 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 5 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$871$759 to $977
FacilityA hospital or hospital-owned outpatient department$977$933 to $1,202

How much rates vary

Facilitymedian $977 · 10th to 90th $759 to $2,291Professionalmedian $871 · 10th to 90th $316 to $1,479
$100$200$500$1K$2Kfacility $977professional $871

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
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$2,290.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,659.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$676.08
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58

Where Montana sits

The same service costs 3.5 times more in Alaska than in Nebraska. 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.

Montana· 6th of 51

$933

AK $1,698NE $490

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.