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Illinois rates for HCPCS 87109

Culture, mycoplasma, any source

Facilitymedian $31 · 10th–90th $15–$850%5%10%10th90th$31Professionalmedian $14 · 10th–90th $8–$230%20%10th90th$14$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$15.49 / $30.90 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.80 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.33 / $9.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $41.69 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $10.72 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $35.48 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $17.78 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $29.51 / $199.53
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
$19.95 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.33 / $15.49