go back

Texas rates for HCPCS 87803

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

Facilitymedian $30 · 10th–90th $12$790%5%10th90th$30Professionalmedian $12 · 10th–90th $7$180%10%10th90th$12$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
$12.02 / $30.20 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $51.29 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.71 / $21.38
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $28.84 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.91 / $23.99
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $44.67
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.45 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.49 / $13.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.91 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $15.85 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $16.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $15.85