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California rates for HCPCS 87536

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

Facilitymedian $257 · 10th–90th $60$6920%5%10th90th$257Professionalmedian $89 · 10th–90th $63$5500%10%20%10th90th$89$10.0$50.0$200.0$1.0K$5.0K

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
$60.26 / $309.03 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $89.13 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $93.33 / $134.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $199.53 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $239.88
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $501.19 / $1,348.96
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $97.72 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $151.36 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $269.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $87.10 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $162.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $114.82 / $251.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $91.20 / $229.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $95.50 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $51.29 / $190.55