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Texas rates for HCPCS 87800

Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique

Facilitymedian $100 · 10th–90th $35–$2570%5%10th90th$100Professionalmedian $34 · 10th–90th $18–$620%10%10th90th$34$2.0$10.0$50.0$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
$33.11 / $100.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.92 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $147.91 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $23.99 / $58.88
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $66.07 / $245.47
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $61.66
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $89.13 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $83.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $54.95 / $181.97
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $72.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $43.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $93.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $63.10 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $40.74 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $43.65 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.44 / $53.70
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $43.65