go back

North Carolina 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 $7 · 10th–90th $4–$710%10%20%10th90th$7Professionalmedian $6 · 10th–90th $5–$80%20%40%10th90th$6$5.0$10.0$20.0$50.0

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
$6.03 / $6.03 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.24 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $17.78 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.00 / $12.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $8.51
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $8.13 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $8.13
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79