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Illinois rates for HCPCS 87538

Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed

Facilitymedian $62 · 10th–90th $35–$1910%10%10th90th$62Professionalmedian $30 · 10th–90th $4–$620%20%10th90th$30$5.0$10.0$20.0$50.0$100.0$200.0$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
$31.62 / $60.26 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $23.99 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $85.11 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $47.86 / $72.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $72.44 / $323.59
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
$45.71 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $25.12 / $43.65