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Nationwide rates for HCPCS 87536

Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed

Facilitymedian $204 · 10th–90th $76$5500%5%10%10th90th$204Professionalmedian $78 · 10th–90th $55$2040%20%10th90th$78$0.1$1.0$10.0$100.0$1.0K$10.0K$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
$77.62 / $218.78 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $114.82 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $54.95 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $181.97 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $51.29 / $147.91