go back

New York rates for HCPCS 85307

Activated Protein C (APC) resistance assay

Facilitymedian $30 · 10th–90th $13$650%10%10th90th$30Professionalmedian $13 · 10th–90th $8$350%20%10th90th$13$2.0$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
$12.88 / $30.20 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $29.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $34.67
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $15.49 / $15.49
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $33.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $22.91 / $100.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $19.50 / $48.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.72 / $29.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $19.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $16.98 / $67.61
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $28.84 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $18.62 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $11.75 / $46.77
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.79 / $34.67
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $46.77