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Plasma Metabolite Panel Related To Autism

Illinois rates for HCPCS 0263U

A test related to autism spectrum disorder that measures 16 chemical substances produced by the body's metabolism in plasma, the liquid part of a blood sample. Those measured include alanine, lactate, phenylalanine, pyruvate, succinate, carnitine, citrate and taurine, identified by mass spectrometry, an instrument that sorts chemicals by their weight. The findings are reported as a classification, and the analysis is a chemical one only, with no genetic component.

Rates data updated July 2026.

How much does Plasma Metabolite Panel Related To Autism cost?

$776

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,096 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 6 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$617$575 to $891
FacilityA hospital or hospital-owned outpatient department$1,096$776 to $1,514

How much rates vary

Facilitymedian $1,096 · 10th to 90th $617 to $1,585Professionalmedian $617 · 10th to 90th $447 to $1,549
$200$500$1K$2Kfacility $1,096professional $617

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
$616.60
Median
$1,148.15
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$977.24
Typical High
$1,348.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$933.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58

Where Illinois sits

The same service costs 2.3 times more in North Dakota than in Connecticut. 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.

Illinois· 11th of 51

$776

ND $1,148CT $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.