Chlamydia test using direct DNA probe

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Nucleic Acid Direct Chlamydia Trach

Payers reporting CPT 87490

Payer pricing summary

Low

$12

Average

$62

Median

$47

High

$476

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	694	$23	$25	$14	58%	—	$1 – $205
2	Aetna fee schedule · outpatient · +24 other terms	647	$24	$79	$412	521%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +22 other terms	481	$23	$48	$57	120%	—	$1 – $268
4	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	446	$32	$50	$48	96%	—	$1 – $453
5	Cigna fee schedule · outpatient · +20 other terms	444	$43	$58	$43	74%	—	$5 – $248
6	WellCare fee schedule · outpatient · +14 other terms	285	$23	$24	$5	20%	—	$6 – $71
7	Molina fee schedule · outpatient · +19 other terms	263	$25	$26	$12	45%	—	$1 – $98
8	Devoted fee schedule · outpatient · +12 other terms	194	$23	$23	$1	3%	—	$22 – $26
9	Anthem fee schedule · outpatient · +17 other terms	170	$26	$41	$41	100%	—	$4 – $234
10	Oscar fee schedule · outpatient · +13 other terms	168	$44	$48	$17	34%	—	$8 – $70
11	Cigna Healthspring fee schedule · outpatient · +5 other terms	136	$24	$23	$2	9%	—	$19 – $39
12	Ambetter facility · fee schedule · outpatient · +16 other terms	105	$41	$42	$9	22%	—	$23 – $58
13	Kaiser fee schedule · outpatient · +14 other terms	83	$23	$29	$15	53%	—	$5 – $85
14	Aetna Better Health fee schedule · outpatient · +12 other terms	82	$21	$21	$2	8%	—	$7 – $24
15	Caresource fee schedule · outpatient · +12 other terms	74	$23	$25	$6	24%	—	$1 – $51
16	Superior Healthplan fee schedule · outpatient · +7 other terms	58	$24	$38	$60	160%	—	$16 – $424
17	Tricare fee schedule · outpatient · +12 other terms	54	$23	$24	$8	32%	—	$4 – $31
18	Optum fee schedule · outpatient · +14 other terms	52	$23	$30	$13	44%	—	$4 – $65
19	Clover fee schedule · outpatient · +6 other terms	48	$23	$23	$0	2%	—	$23 – $24
20	Highmark facility · fee schedule · outpatient · +12 other terms	44	$42	$59	$51	87%	—	$15 – $263
21	First Health fee schedule · outpatient · +13 other terms	35	$23	$27	$26	95%	—	$19 – $192
22	Amerihealth Caritas fee schedule · outpatient · +8 other terms	33	$26	$26	$7	27%	—	$3 – $34
23	MultiPlan fee schedule · outpatient · +14 other terms	32	$40	$65	$50	77%	—	$4 – $207
24	Medica facility · fee schedule · outpatient · +11 other terms	30	$23	$23	$6	26%	—	$8 – $58
25	Bcbs Tx fee schedule · outpatient · +5 other terms	29	$87	$90	$43	48%	—	$23 – $196

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