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Texas rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $25 · 10th–90th $9$650%5%10%10th90th$25Professionalmedian $9 · 10th–90th $6$150%10%10th90th$9$2.0$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
$8.91 / $22.39 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $39.81 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $11.48
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $26.30 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.71 / $20.42
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $81.28 / $114.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $45.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $19.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $10.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.71 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.76 / $11.75
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $8.13