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California 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 $33 · 10th–90th $9–$710%5%10%10th90th$33Professionalmedian $6 · 10th–90th $5–$170%20%10th90th$6$5.0$10.0$20.0$50.0$100.0$200.0

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
$10.96 / $33.11 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $40.74 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $13.80 / $24.55
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $46.77 / $93.33
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $11.48 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.00 / $12.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.91 / $12.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $14.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $8.13 / $19.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $7.76 / $8.13
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.32 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.50 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $15.49