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California rates for HCPCS 0316U

Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine

Facilitymedian $76 · 10th–90th $19$1350%10%10th90th$76Professionalmedian $14 · 10th–90th $8$220%20%10th90th$14$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$25.70 / $75.86 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $93.33 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $30.90
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $85.11 / $213.80
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $26.92 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.91 / $28.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $32.36
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
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
$9.77 / $19.05 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.78 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $12.88 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $35.48