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Illinois rates for HCPCS 0316U

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

Facilitymedian $31 · 10th–90th $19–$560%10%10th90th$31Professionalmedian $15 · 10th–90th $12–$230%20%10th90th$15$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
$19.05 / $30.90 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.12 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $40.74 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $22.91 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.30 / $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
$23.99 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $18.62