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Kawasaki Disease Risk Blood Score

Vermont rates for HCPCS 0310U

Helps assess Kawasaki disease, an illness of childhood in which blood vessels become inflamed and the heart arteries can be damaged. Three markers in a blood plasma sample (NT-proBNP, C-reactive protein and T-uptake) are measured and combined into a single risk score. It is aimed at this childhood vessel inflammation rather than at adult heart risk.

Rates data updated July 2026.

How much does Kawasaki Disease Risk Blood Score cost?

$490

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $490 to $490.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $661Professionalmedian $490 · 10th to 90th $389 to $490
$200.0$500.0$1.0K$2.0Kfacility $138professional $490

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$562.34
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$602.56

Where Vermont sits

The same service costs 2.3 times more in North Dakota than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $490 · 3rd of 51
ND $589NE $257

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.