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Illinois 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 $14 · 10th–90th $8–$260%10%10th90th$14Professionalmedian $6 · 10th–90th $5–$100%20%10th90th$6$2.0$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
$8.32 / $13.49 / $23.99
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
$10.96 / $24.55 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $17.78 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.00 / $12.30
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.22 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $8.13