go back

New York rates for HCPCS 87505

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Facilitymedian $240 · 10th–90th $126$3890%10%10th90th$240Professionalmedian $120 · 10th–90th $63$3160%10%10th90th$120$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$128.82 / $239.88 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $302.00
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $128.82 / $128.82
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $275.42 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $190.55 / $616.60
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $467.74
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $114.82 / $245.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $128.82 / $229.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $331.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $239.88 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $154.88 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $109.65 / $281.84
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $147.91 / $218.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $128.82 / $309.03