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Illinois rates for HCPCS 87803

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

Facilitymedian $30 · 10th–90th $16–$680%10%10th90th$30Professionalmedian $13 · 10th–90th $3–$280%10%10th90th$13$5.0$10.0$20.0$50.0$100.0$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
$15.85 / $29.51 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $37.15 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $13.49 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $33.88 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.20 / $25.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $35.48 / $107.15
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
$20.89 / $20.89 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $15.85 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.55 / $16.98