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Plasma Chemistry Pattern In Autism Assessment

New Jersey 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?

$631

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,259 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$589$468 to $631
FacilityA hospital or hospital-owned outpatient department$1,259$977 to $3,467

How much rates vary

Facilitymedian $1,259 · 10th to 90th $759 to $7,413Professionalmedian $589 · 10th to 90th $398 to $871
$200$500$1K$2K$5K$10K$20Kfacility $1,259professional $589

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
$954.99
Median
$1,000.00
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$3,467.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,380.38
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$758.58

Where New Jersey 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.

New Jersey· 30th of 51

$631

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.