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Utah rates for HCPCS 87491

Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique

Facilitymedian $76 · 10th–90th $44–$1860%10%20%10th90th$76Professionalmedian $34 · 10th–90th $26–$660%10%20%10th90th$34$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
$58.88 / $77.62 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.88 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $36.31 / $67.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $29.51 / $44.67
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $123.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.90 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $41.69