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Utah rates for HCPCS 85004

Blood count; automated differential WBC count

Facilitymedian $23 · 10th–90th $7–$500%20%10th90th$23Professionalmedian $6 · 10th–90th $4–$70%20%10th90th$6$5.0$10.0$20.0$50.0

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
$7.08 / $38.90 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.62 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.76 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.37 / $12.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $28.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $5.75
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.46 / $20.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.17 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.80 / $9.12