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Nationwide rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $13 · 10th–90th $6–$400%10%10th90th$13Professionalmedian $6 · 10th–90th $5–$130%20%40%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $14.13 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $8.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $16.22 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $13.18 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $15.85 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $8.13 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $9.33

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