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Illinois rates for HCPCS 87153

Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)

Facilitymedian $224 · 10th–90th $115–$3470%10%20%10th90th$224Professionalmedian $98 · 10th–90th $69–$2240%20%10th90th$98$5.0$20.0$100.0$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
$117.49 / $223.87 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $467.74 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $79.43 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $269.15 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $141.25 / $218.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $204.17 / $398.11
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
$151.36 / $151.36 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $83.18 / $154.88