go back

Ohio rates for HCPCS 0313U

Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, negative, low probability of neoplasia or positive, high probability of neoplasia)

Facilitymedian $5,012 · 10th–90th $3,388–$8,7100%10%10th90th$5,012Professionalmedian $2,884 · 10th–90th $1,445–$4,2660%20%10th90th$2,884$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$3,388.44 / $5,370.32 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,884.03 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,778.28 / $4,466.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $41,686.94 / $75,857.76
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $56,234.13 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,677.35 / $19,952.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $7,585.78
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,630.78 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,137.96 / $3,630.78