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Pennsylvania rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $32 · 10th–90th $10$560%10%10th90th$32Professionalmedian $9 · 10th–90th $7$190%20%10th90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$10.00 / $32.36 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $20.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $18.20 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $15.49 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.62 / $17.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.18 / $20.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $40.74
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $18.20 / $40.74
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $14.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $17.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $10.72 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $12.02 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $20.42