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New York rates for HCPCS 0316U

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

Facilitymedian $33 · 10th–90th $16–$560%10%20%10th90th$33Professionalmedian $11 · 10th–90th $8–$200%20%10th90th$11$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$15.85 / $35.48 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $89.13 / $89.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.22 / $36.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $21.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $18.62 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $28.18
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $21.38
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $18.62 / $21.88