go back

California rates for HCPCS 87803

Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A

Facilitymedian $46 · 10th–90th $15$1050%10%10th90th$46Professionalmedian $12 · 10th–90th $7$480%20%10th90th$12$5.0$20.0$100.0$500.0$2.0K

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
$20.89 / $53.70 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $75.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $37.15 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $11.75 / $30.20
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $66.07 / $147.91
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.47 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $28.18 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.79 / $32.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $25.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $37.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $15.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $16.60 / $42.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.30 / $32.36
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $9.55 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $30.20