go back

Illinois rates for HCPCS 81511

Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)

Facilitymedian $275 · 10th–90th $132–$5130%10%10th90th$275Professionalmedian $132 · 10th–90th $3–$2140%10%10th90th$132$5.0$20.0$100.0$500.0$2.0K

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
$138.04 / $275.42 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $147.91 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $208.93 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $104.71 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $323.59 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $165.96 / $223.87
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $676.08
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
$199.53 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $154.88 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $154.88